|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sanctuary Merchandise
Order Form
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL _____________
TAX(VA RES.ONLY ADD 5%) ____________
SHIPPING(SEE CHART) ____________
TOTAL _____________
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Please make checks payable to Sanctuary Merchandsie
For credit card orders please provide the information below.
Please circle the credit card being used: Visa Master Card American Express Discover
Card Number: ______________________________
Expiration Date: ______________________________
|
|
|
|
|
|
|
|
|
|
|
|
|
THANK YOU FOR YOUR ORDER!
Sanctuary Merchandsie
2119 Old Landing Way
Woodbridge VA 22191
Web Site: www.candle.theshoppe.com
Email: candleshop@angelfire.com
Fax: (801) 437-3953
|
|
|
|
|
|
|
|
