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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
Subtotal:__________________
S&H:_____________________ TOTAL:____________________
checks payable to Blissful Botanicals
Thank You!
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