ORDERING FORM for BODY AND BATH  by MAIL. For all Orders it is necessary to clearly state the Title , size, color and weight of the product on the ORDERING FORM.

 This Ordering Form should be printed out and sent to us together with the payment                                  back to order info page

Please provide the following information:

Name
Home Phone
E-mail
  Shipping - Street Address
City 
State/ Prov. + Zip-postalCode 
  Sinus Fizz   Sea Salt bag 14 oz       Milk Bath  
  Feet Fizz   Sea Salt small Gift bag  Shower Gel  
Bath Fizz    Sea Salt large Gift bag  Bubble Bath  
Quantity Item Name   Description Unit Price Amount
 
 
 
 
 
 
 
 
 
Orders from: Shipping Price
$ 0.01   -  10.00 $  3.00
$ 10.01   -  15.00 $  4.80
$ 15.01   -  20.00 $ 6.25
$ 20.01    - 35.00 $ 9.95
$ 35.01      -    up $ 13.85
Subtotal:
Shipping
Total
PAYMENT - make payable to Odette Simons send to:
Odette Simons,
2000 Mining town rd.,
Mountain City, TN - 37683
 
  Personal Check        Money Order  


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