Name:______________________________________________Date:_______________________
Address:__________________________________ Apt #;______City:_______________________________
State/ZIP:________________________Phone:______________________Email:_______________________
Mail this form & Make Checks payable to: Missouri Scents 209 E Johnson St, Gallatin, MO 64640
To use credit card by phone: (660) 663-2361 or you can fax your order to (213) 402-8743
CC#__________________________________________________exp date:_______________________
Name on Card:___________________________________Signature:_______________________________
SUB TOTAL
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Tax 7.6%
Missouri Residents only
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Shipping (flat rate)
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$5.99
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Grand Total
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A $35 fee will be charged for any returned check or unauthorized charge backs.
Guarantee and Return Policy
If for any reason you are not satisfied with the quality or performance of our products within the first 7 days of receipt, you will receive a full refund for the unused portion of your order (less shipping and
handling). Refunds will be issued after unused portion is received by us (less s&h). If your order was damaged during shipping we will provide a replacement order at no charge after receiving the damaged
order back.
Quantity
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Min Order
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Description
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Scent
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Unit
Price
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Line Total
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none
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4 Pack Ear Candles Mail / Fax SPECIAL
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Unscented
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$4.99
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none
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4 Pack Ear Candles Mail / Fax SPECIAL
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Lavender
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$4.99
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none
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4 Pack Ear Candles Mail / Fax SPECIAL
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Eucalyptus/Sandalwood
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$4.99
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10-49
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Loose Soy Wax blend Ear Candles
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*P L E S Mix
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$1.59 ea
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50-74
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Loose Soy Wax Blend Ear Candles
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*P L E S Mix
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$1.35 ea
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75-99
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Loose Soy Wax Blend Ear Candles
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*P L E S Mix
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$1.30 ea
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100 -149
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Loose Soy Wax Blend Ear Candles
|
*P L E S Mix
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$1.07 ea
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150-199
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Loose Soy Wax Blend Ear Candles
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*P L E S Mix
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$ .97 ea
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200 & Up
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Loose Soy Wax Blend Ear Candles
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*P L E S Mix
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$ .86 ea
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4 Pack
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Premium Beeswax Double-Dip Tipped
Ear Candles 15 minute burn time
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Unscented
only
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$12.00
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12 Pack
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Premium Beeswax Ear Candles
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Unscented only
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$ 27.00
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75 Pack
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Premium Beeswax Ear Candles
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$150.00
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none
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Missouri Scents Ear Oil
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$ 6.95ea
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5 or more
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Missouri Scents Ear Oil
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reg $6.95 ea
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$4.95 ea
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none
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Missouri Scents FRAGRANCE OILS
Choose Scent: ___ Missouri Eve
____Winter Citrus ____ Cranberry Infusion
___ Pink Coral 66
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reg $15.95
intro special
price save $10!
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$5.95 ea
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PRIVACY STATEMENT
Your personal and financial information will always be kept secure and confidential and will never be sold to a third party.
Guarantee and Return Policy
If you are not satisfied with the quality or performance of our products in the first 7 days after receipt of delivery, you will receive a full refund for the unused
portion of your order (less shipping and handling). Refunds will be issued after unused portion is received and inspected by us (less s&h). Items damaged
during return shipment will not be refunded. Please use the same care in sending them back to us as we did shipping them to you. If your order was damaged
during original shipping we will provide a replacement order at no charge after receiving the damaged order back.
VIsa, MC or Discover ONLY
All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. Ear
candles are not a substitute for medical treatment. We have no control of the use of this product. Missouri Scents and all those involved in the
manufacture as well as the seller assume no liability for any loss, damage or expense of any kind arising from the use or inability to use this product.
* Circle scent of choice P= Plain L=Lavender
E=Eucalyptus/Sandalwood S=Scent of the Month
FLAT RATE SHIPPING CHARGE OF $5.99
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