SOAPORAMA ORDER FORM
NAME: |
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ADDRESS: |
. |
ADDRESS: |
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CITY, STATE, ZIP CODE: |
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TELEPHONE: |
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E-MAIL ADDRESS: |
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QUANTITY |
COLD PROCESSED SOAP TYPE ($8.00 each) |
TOTAL PRICE |
# |
Happy Hippy |
$ |
# | Immaculate Complexion | $ |
# |
Jazzmine |
$ |
# |
Lavender |
$ |
# |
Lavender Oatmeal |
$ |
# |
Lemongrass |
$ |
# |
Peace on Earth |
$ |
# |
Vanilla Bean |
$ |
SUBTOTAL (Cold Processed Soaps) |
$ |
QUANTITY |
GLYCERIN SOAP TYPE ($8.00 each) |
TOTAL PRICE |
# |
Citrus Basil |
$ |
# | Dot Com Bubble | $ |
# |
Fresh Grass |
$ |
# | Ginger Lime | $ |
# | Hell or High Water Lily | $ |
# |
Japanese Garden |
$ |
# |
Mango Coconut |
$ |
# |
Peppermint Stick |
$ |
# |
Primarily Grapefruit |
$ |
# |
Splash |
$ |
# |
Tomato Leaf |
$ |
SUBTOTAL (Glycerin Soaps) |
|
SUBTOTAL (Cold Processed Soaps) |
$ |
SUBTOTAL (Glycerin Soaps) |
$ |
GRAND TOTAL |
$ |
THANK YOU SO MUCH FOR YOUR ORDER!!
Please make your check or money order payable to Kymberlee Keckler and mail it along with this form to:
Kymberlee Keckler
103 Saint Rose Street, Apt. #2
Jamaica Plain, MA
02130