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 |
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| AromaCourse |
$195.00 |
||||
| SUBTOTAL | $ | ||||
|
Prepaid |
$ | Sales Tax | $ | ||
|
Paid on Delivery |
$ | TOTAL | |||
| Check/Cash |
Consultant ID # _______________________
Consultant Name: _______________________________________
E-Mail: ______________________________________________________
Address: ______________________________________________
Telephone: ____________________________________________
Comments: