Candle Cottage Order Form

Ordering Instructions:

1)Fill out form
2)Be prepared to print out copy of order
that will be generated by pressing Send Order Button.
3)Read copy of sent order. It will have complete ordering instructions.
4)If you make a mistake Click Corrected Order and resend.
5)Fill out appropriate blanks,such as credit card info
and Mail to address on form.(Money Orders and Credit Cards ONLY)
(money orders may be purchased at your local Post Office)


Original Order or Corrected Order.

SELECT ITEMS THAT YOU WISH TO ORDER:
Click down arrows for selection

Item Number 1
Quantity: Candle: Scent:
Item Number 2
Quantity: Candle: Scent:
Item Number 3
Quantity: Candle: Scent:
Item Number 4
Quantity: Candle: Scent:
Item Number 5
Quantity: Candle: Scent:
Item Number 6
Quantity: Candle: Scent:
Item Number 7
Quantity: Candle: Scent:


First Name Last Name
Street Address
City State Zip
Telephone # Fax #
E Mail Address:



For additional items, send this order, return to the order form,
scroll to the bottom, clear form, and repeat the process.

Special orders or Other Information-See Below.
Add shipping 10% of dollar amount(minimum $5.00)



For additional or special orders or
other information applicable to order. TYPE BELOW:



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