BLISSFUL BOTANICALS ~ handcrafted herbal skin care and aromatherapy

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ORDERED BY:                                                                                                  DATE                  
Name:                                                                                                
Address:                                                                                                                                             
                                                                                                                                                             
Phone:                                                                                                                                                
Email:                                                                                                                                                

SHIP TO:  (if different from ordered by)
Name:                                                                                               
Address:                                                                                                                                          
                                                                                                                                                          
Phone:                                                                                                                                              
Email:                                                                                                                                                

QTY_____ITEM_________________Price ea___Total

                                                                                                                                                              
                                                                                                                                                              
                                                                                                                                                               
                                                                                                                                                              
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               
                                                                                                                                                               

Shipping and Handling:
$10.00-$20.00 = $4.50
$20.00-$30.00 = $5.00
$30.00-$40.00 = $5.50
$40.00-$50.00 = $6.00
$50.00-$60.00 = $6.50
$60.00-$70.00 = $7.00
$70.00-$80.00 = $7.50
$80.00-$90.00 = $8.00
$90.00-$100.00 = $8.50
$100.00+up = $9.00
Thank You Very Much!!

Subtotal:__________________

S&H:_____________________
TOTAL:____________________
checks payable to Blissful Botanicals

Thank You!

Blissful Botanicals Handcrafted Herbal Skin Care and Aromatherapy
P.O. Box 81 Marlborough, CT 06447   (860)295-8879
(203)-558-6745 blissfulbotanicals.com
...........Where Medicine and Luxury Unite.................