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SUNMOON ESSENCES MAIL ORDER FORM

To order by credit card,
or out of US
skip to credit card payment section

Neva Howell
REF: Loretta Rogers
1138 Co. Rd. 131
Bryant, AL 35958
http://www.oocities.org/sunmoonessences

$9.00 Per Essence (one-half ounce bottle);
Full set of Flower or Totem Essences - $48.00

QTY. ITEM UNIT
PRICE		 TOTAL
PRICE

Essence Name

$9.00

Essence Name

$9.00

Essence Name

$9.00

Essence Name

$9.00

Totem Essences Set(s)

$48.00

Flower Essences Set(s)

$48.00
Sub-Total
NC residence add 6% sales tax to subtotal
Shipping $ 5.00
TOTAL

Ship To:

Name:_________________________________________________________

Street:________________________________________________________

City:_________________________State: ________ Zip Code:___________

Phone:__________________________ Fax:__________________________

Email:________________________________________________________

*SHIPPING: Shipping is $5.00 US.
International - email for amount of shipping.

[IMPORTANT NOTE: TO ORDER BY CHECK OR CREDIT CARD, PLEASE CONTACT THE CO-CREATOR OF THESE ESSENCES BY CLICKING HERE. She will give you detail of your purchase options (i.e. paying by check or credit card). Ask also about her Gem Essence and Watertree Essence Sets.

Loretta Rogers
Seagrove Beach, FL 32459

Thank you for your order!


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