Herbal Botanicals Order Form

Herbal Botanicals Order Form
Print and fax/mail

HERBAL BOTANICALS
132 IRON OAK CIRCLE
LIVERPOOL, NY 13088
U.S.A.
Tel and Fax: (315) 451-9629
[email protected]

Ordered By:
NAME:______________
ADDRESS:______________
___________________
CITY:_______________
STATE:_______
ZIP:________________
DAYTIME PHONE:______________

PAYMENT METHODS
CHECK OR MONEY ORDER PAYABLE TO:
HERBAL BOTANICALS
U.S. FUNDS ONLY
PLEASE ALLOW 2-4 WEEKS FOR DELIVERY

Merchandise Subtotal Shipping and Handling Charges

Up to $25.00 $5.00

$25.01-$40.00 $7.00

$40.01-$55.00 $8.50

$55.01-$75.00 $10.50

$75.01-$95.00 $12.50

$95.01-$135.00 $14.50

$135.00 and up $16.50

ITEM	PRICE	QTY	TOTAL
GLYCERIN SOAPS (3.5 OZ. HAND-SLICED BARS)
PEPPERMINT	3.50	______	______
LAVENDER	3.50	______	______
LEMONGRASS	3.50	______	______
LEMON ROSEMARY	3.50	______	______
OATMEAL ALMOND	3.50	______	______
SWEET ORANGE	3.50	______	______
CITRONELLA	3.50	______	______
SANDALWOOD AND OATMEAL	3.50	______	______
SEAWEED SCRUB	3.50	______	______
CEDAR AND SAGE	3.50	______	______
ROSEWOOD	3.50	______	______
PATCHOULI	3.50	______	______
CINNAMON	3.50	______	______
OAKMOSS	3.50	______	______

OLD FASHIONED SOAPS (3.5 OZ. HAND-SLICED BARS)

LAVENDER 3.50 ______ ______

PATCHOULI 3.50 ______ ______

PEPPERMINT 3.50 ______ ______

LEMON ROSEMARY 3.50 ______ ______

OATMEAL UNSCENTED 3.50 ______ ______

COMFREY 3.50 ______ ______

SANDLEWOOD AND OATMEAL 3.50 ______ ______

OLD FASHIONED SOAPS (2 OZ. LABELED BARS)

LAVENDER 2.50/bar ______ ______

PATCHOULI 2.50/bar ______ ______

PEPPERMINT 2.50/bar ______ ______

LEMON ROSEMARY 2.50/bar ______ ______

OATMEAL UNSCENTED 2.50/bar ______ ______

COMFREY 2.50/bar ______ ______

SANDLEWOOD AND OATMEAL 2.50/bar ______ ______

ESSENTIAL OILS (1/8 OZ VIALS)

PEPPERMINT 5.00 ______ ______

LAVENDER 5.00 ______ ______

LEMONGRASS 5.00 ______ ______

SWEET ORANGE 5.00 ______ ______

CITRONELLA 5.00 ______ ______

SANDALWOOD 5.00 ______ ______

CLARYSAGE 5.00 ______ ______

CEDARWOOD 5.00 ______ ______

ROSEWOOD 5.00 ______ ______

PATCHOULI 5.00 ______ ______

CINNAMON 5.00 ______ ______

GRAPEFRUIT 5.00 ______ ______

CARRIER OIL (IN BEAUTIFUL COBALT BLUE BOTTLES

CARRIER OIL 2 OZ VIAL 4.00 ______ ______

CARRIER OIL 4 OZ VIAL 7.00 ______ ______

BATH ACCESSORIES

NATURAL BRISTLE WOODEN NAIL BRUSH 4.00 ______ ______

LOOFAH SPONGE 1.50 ______ ______

NATURAL SEA SPONGE 4.00 ______ ______

2 INCH ROUND LOOFAH PAD 1.00 ______ ______

LAVENDER BATH BAG 1.50 ______ ______

SAMPLER PACKS (ANY 4 SOAPS IN A WOODEN CRATE) 16.50

SOAP TYPES:
___________________
___________________
___________________
___________________ 16.50
CELLOPHANE BAG GIFT WRAPPING: 1.50

TAX (NYS RESIDENTS ADD 7%): _____________
SHIPPING & HANDLING: _____________

GRAND TOTAL: _____________

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Herbal Botanicals Order Form Print and fax/mail

Herbal Botanicals Order Form
Print and fax/mail