www.herbforhair.com

Contact Us

CHOR NATURE Ltd., Part.
1/32 Boromarajajonani Rd., (between Soi.5-7) , Arun Ammarin, Bangkok Noi, Bangkok 10700
Tel: 0-2434-8895-6 / Fax: 0-2884-6741 Mobile: 01-6289102
email: chor@herbforhair.com , herbforhair@hotmail.com
[Click to see map]

Member Application

*Mr./Mrs./Miss		Age
Address : Home
*Tel.		Mobile
Fax
* E-mail
Office
Tel.		Fax
E-mail
*Enquiry :

Contact place	Home	Office
Mailing address	Home	Office
How do you get to know us ?
Hair Information
1. Your hair	short hair	long hair
2. Size/color	thick & shiny	thin light color or gray
3. Your favorite hair style	puffy	tidy
4. Your scalp	dry	oily
5. Shampooing
5.1 Shampoo	every day	every other day	times/week
5.1 Shampoo

5.2 Brand of shampoo used
5.3 Conditioner using	No	Yes	Brand
6. Chemical Treatment	No	Yes, have been through irritant chemical such as dry, curl or chlorine

Hair Problems

	Baldnes
	1.		Your hair is falling more than 50 hair per day.
	2.		Thin hair but not falling now.

Minoxidil / Finasteride Using

	never use or stopped more than 6 months
	still using
	stopped less than 6 months = months. You may have hair loss in these 6 months after stop using.

Gray Hair		Dandruff	Itching	hair Damage	Unhealthy hair
Do you have one or more of the following symptoms?
	Acne, red spot or skin rashes on face, eyelid, or scalp
	Itching on scalp, face, eyelid, eyelashes, or external ear channel especially at night.
	Hair loss of eyelashes or hair

	Date

How to Buy

1. Shop at the following distributors:

Distributor name	Address	Tel.
PHYATHAI 1 Hospital	Building 1 (Herb corner near the reception) 364 Sriayudhya Rd. , Rajdevi, BKK 10400	0-2245-2620 ต่อ 2194
OCEAN FLOWER Co.	CENTER ONE, VICTORY MONUMENT , Ground Level	0-9493-9304 0-9799-7704
DOOY SHA PAU SHOP	near SIRIRAJ Hospital	0-2412-0551 0-2437-5323
SAE-SOO	MONGBASHAE Booth 75-80 Prachanives1, Ladyao, Jatujak, BKK	0-2954-3612
HEALTHYMAX Drug Store	BAM-ROONG-RAJ Hospital	0-2667-1311
Mobile Shop	Ms. Pinyada	0-9499-5641
JIVA Hair Health Treatment Center	159/3 Soi Thonglor (Between Thonglor 7 & 9) Sukhumvit 55 Road, Klongtan-nua Wattana, Bangkok 10110 FAX: 0-2712-8549	0-2381-1057-9
KHUN SORAWAN	SEACON SQUARE 2nd fl., ROBINSON	089-799-7704
PANAN CHAO-OEY	1262/1 Rama 4 Rd., Klongtoey Bangkok 10110	02-671-0131
KHUN WATTANA	Prachaotaksin 13 Rd. Samrae Post office, Samrae, Thonburi Bangkok 10600	086-531-9355, 086-075-9189
SU-SHIVA SHOP	81/39 Prayasajja Rd., Muang, Chonburi 20000 (near NAMDEE Duck Noodle Shop)	038-286-596
V Shop HORKOI Branch (KHUN NISANART)	170/1 Nangpim Rd., Ta Pee Liang, Muang, Suphanburi 72000	035-525369
Healthy Shop (KHUN TANAWAT)	814/171 Norrasing Rd., Mahachai, Muang, Samutsakorn 74000	086-319-4950

2. Shop directly at

JIVA HAIR AND SCALP COMPLETE TREATMENT CENTER by CHOR NATURE 1/32 Boromarajajonani Rd., (between Soi.5-7) , Arun Ammarin, Bangkok Noi, Bangkok 10700 or order (free delivery) to 0-2434-8895-6 by cash transferring to saving account of “KANABOOKKON HERBFORHAIR” of any bank as the following :

Bank		Branch	Account Number
	Bangkok Bank	Phuddhamonthon	247-0-54655-3
	Kasikorn Bank	Oomnoy Sub Branch	439-2-41005-3
	Krungthai Bank	Oomnoy Branch	732-0-01714-8
	Bank of Ayudhaya	Oomnoy Sub Branch	337-1-59685-1
	Thai Military Bank	Oomnoy Branch	439-2-56941-6
	SCB Bank	Salaya Branch	316-2-51862-0

The products will be delivered by express mail or a messenger if in Bangkok .
N.B.	1. Buying more than 1,000 Baht in the first order or 100 Baht fee paym ent will get membership which can get 10% discount immediately.
	2. Members will get 10% discount when buying at shops at any amount of order except when the products are delivered by mail the minimum order for 10% discount is 600 Baht and 1,000 Baht if delivered by a messenger.