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Scentsuality.com Order Form |
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*Billing Address |
Please Print,
Complete and Fax Form |
Date: |
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Your Name |
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Address |
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*City |
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*State, Zip and
Country |
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*Telephone No. |
Day |
Eve. |
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*Your e-mail address |
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DELIVERY ADDRESS |
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City, State and
Zip |
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Country |
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*Credit Card/Check |
Check |
Visa |
M/Card |
Amex |
Disc |
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*Card No and Expiry
Date |
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Note that billing
address details MUST match credit card billing address and name |
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Card cannot be
authorized without complete and accurate billing information. |
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Note that returned
checks will incur a charge of $25. Customer is responsible for any
import duties. |
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*Credit card
holder's signature please: |
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Note that fields
marked with * must be completed to authorize order. Thank you. |
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Item No. |
Description |
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Size |
Quantity |
Cost Each |
Total Cost |
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SUB TOTAL |
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TAX (FLORIDA RESIDENTS ADD 7%) |
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Shipping and Handling (See below) |
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Total Enclosed (US Dollars) |
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Shipping costs:$6.95 per ORDER up to $49.99, $7.95 per ORDER $50-$99.99, $8.95 per ORDER $100 - $199.99, Over $200 Shipping is $9.95 to mainland USA addresses. |
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For ALL
international orders shipping please e-mail or fax us for details. International
orders by credit card only. scentsuality.com is a division of the
Expressions Group LLC.. |
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