YOUR #1 SOURCE FOR PERFUME BODY OILS & SCENTED BATH SALT!
NO MINIMUM ORDER
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Print Mail or E-mail Order Form
Gallery Of Scentz
34 Burr Oak Street N.E.
Grand Rapids , Michigan 49505
Phone: (616) 365-0725
E-mail:
shall616@yahoo.com
(Copy
and paste to email your order or Print and mail order)
Customer Information
Name:_____________________________________________________________________________
Street Address:_____________________________________________________________________________
City: ______________________________________ State: ________________Zip:______________________
Phone: _____________________________________ Fax:____________________________________
E-mail:______________________________________________________________________________________
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Item no. |
Description Fragrance |
Quantity |
Price Each |
Amount | |
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Sub-Total
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Shipping
Charges
(see
chart below)
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6% Tax for Michigan
Residents
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Total
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Shipping Method : First Class US Mail ______ International (Contact Company for shipping cost)______
Credit Card Information:
Visa ____ MasterCard ____ Name as it appears on card:
Credit Card Number:_____________________________________________________________________
Expiration Date: _____________________________________________________________________
All orders must
be prepaid
At this time we accept paypal payment, cashier's checks, money orders,
Visa, and MasterCard
Special Instruction Notes: |
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| Shipping cost is | : | |
| 1 Item | $2.00 | |
| 2-3 Items | $3.50 | |
| 4-10 Items | $4.50 | |
| 11-20 Items | $8.95 | |
| All Item over 20 Contact Comapany For shipping Cost |