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Victorian Memories - Order Form

Customer Name: Street:
City, State, Zip Phone:
Order Date:                   Delivery Date: E-Mail:

Product Code

Description

Unit Price

# of Units

Received

Total

B-226VR

Bath Oils

$16.00

     

B-226P

"

"

     

B-226O

"

"

     

B-226L

"

"

     

B-226G

"

"

     

B-226PL

"

"

     

EO3OL

Essential Oils

$16.00

     

EO3OT

"

$12.44

     

EO3OG

"

$12.00

     

EO3ORW

"

$32.00

     

EO3OT

"

$36.00

     

EO3OSP

"

$12.00

     

EO3OCP

"

$32.00

     

EO3OEU

"

$9.20

     

FW229SS

Floral Waters

$20.00

     

FW229LL

"

"

     

FW229QM

"

"

     

FW229SD

"

"

     

FW229AY

"

"

     

VFC

Fudge (choc)

$16.00

     

VFW

Walnut

"

     

VFRR

Rum raisin

"

     

VFCM

Choc.mint

"

     

VFM

Marsala

"

     

VFCH

Champagne

"

     

VFWK

Whisky

"

     

B-225

Sea Salts

$13.00

     

B-227G

Scrubs

$16.00

     

B-228VR

Soaks

$18.00

     
  AromaCourse

$195.00

     
        SUBTOTAL $

Prepaid

$     Sales Tax $

Paid on Delivery

$     TOTAL  
Check/Cash          

Consultant ID # _______________________

Consultant Name: _______________________________________

E-Mail: ______________________________________________________

Address:  ______________________________________________

Telephone: ____________________________________________

Comments:

Aromatherapy Course

Bath Oils

Floral Waters

 Bath Scrubs

Bath Soaks

Order Form

Cover

Essential Oils

Fudge

Dead Sea Salts

Contract

Links