| Name:_________________________ | Phone: (_____)____________________ |
| Address:_______________________ | Suite/Apt#:_______________________ |
| City/State:______________________ | Zip Code:________________________ |
| Quantity | Candle | Color | Scent | Price | Line Total |
| _________ | _______ | ________ | ________ | ________ | _________ |
| _________ | _______ | ________ | ________ | ________ | _________ |
| _________ | _______ | ________ | ________ | ________ | _________ |
| _________ | _______ | ________ | ________ | ________ | _________ |
| _________ | _______ | ________ | ________ | ________ | _________ |
| _________ | _______ | ________ | ________ | ________ | _________ |
| THANKS! | For your | business | today! | SUB | _________ |
|
|
| U.S.Only | S & H | $8.00 |
|
|
| Sales Tax | 8.25% | _________ |
|
|
| Final | TOTAL | _________ |