Name:______________________________________________Date:_______________________

Address:__________________________________ Apt #;______City:_______________________________

State/ZIP:________________________Phone:______________________Email:_______________________
Mail this form & Make Checks payable to:
Ear Candles 209 E Johnson St, Gallatin, MO 64640
To use credit card by phone:  (660) 663-5219 or you can
fax your order to (213) 402-8743

CC#__________________________________________________exp date:_____________CVV:_______

Name on Card:___________________________________Signature:_______________________________
SUB TOTAL
 
Tax 7.6%
Missouri  Residents only
 
Shipping (flat rate)
$5.99
Grand Total
 
A $35 fee will be charged for any returned check or unauthorized charge backs.
PRIVACY STATEMENT
Your personal and financial information is secure through Paypal and will always be kept secure and confidential.

Our Guarantee and Return Policy

You don't have to give us a reason if you are not satisfied with our products, you just need to put them in the mail no later than 7
days after you receive them.  Be sure to put a copy of the packing slip or identification so we know who it's from. You will
receive a full refund for the unused portion of your order
(less shipping and handling) as long as the postmark is within 7 days of
when you received them.  We will check your return to make sure there are no damaged items. Refund will be issued after
inspection (less s&h).  We don't refund items that are damaged during the return shipment so 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. You have 7 days from receipt of delivery to report and
return any damaged items.  Email us at missouriscents@yahoo.com to notify us of damaged products.
Quantity
Min Order
Description
Scent
Unit
Price
Line Total
    SOY EAR CANDLES
9in long - 1/2 in diameter  - 10 min burn
     
  none
4 Soy Ear Candles     Mail / Fax  SPECIAL
* P  L  E  S  Mix
$4.99
 
  1- 49
Loose Soy Wax blend Ear Candles
*P   L   E  S  Mix
$1.59 ea
 
  50-74
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$1.35 ea
 
  75-99
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$1.30 ea
 
  100 -149
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$1.07 ea
 
  150-199
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$  .97 ea
 
  200-499
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$  .86 ea
 
  500-999
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$  .78 ea
 
  1000 & up
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$  .73 ea
 
    Amish Beeswax Ear Candles
9in long - 1/2 in diameter - 10 minute burn
     
    Pack of 4    100% Beeswax Ear Candles  
Unscented only
$ 12.00
 
    Pack of 12  100% Beeswax Ear Candles   
Unscented only
$ 27.00
 
    Pack of 75  100% Beeswax Ear Candles
Unscented only
$150.00
 
  100 & up
100% Beeswax Ear Candles
Unscented only
$ 1.52 ea
 
    Premium Amish Paraffin Ear Candles
11 in long - 1/2 diameter - 15 minute burn
     
    Package of 10  Paraffin Ear Candles
Unscented only
$   9.90
 
    Package of 20 Paraffin Ear Candles
Unscented only
$ 19.60
 
    Package of 50 Paraffin Ear Candles
Unscented only
$  47.50
 
    Package of 100 Paraffin Ear Candles
Unscented only
$  93.00
 
    Package of 200 Paraffin Ear Candles
Unscented only
$160.00
 
    Package of 400 Paraffin Ear Candles
Unscented only
$375.00
 
    Package of 1000 Paraffin Ear Candles
Unscented only
$730.00
 
    Super Concentrated EAR OIL
     
  none
Missouri Scents Ear Oil 1/2 oz
  $ 6.95 ea
 
    Fragrance Oils
     
  none
Missouri Scents FRAGRANCE OILS
Choose Scent: _____Cranberry Infusion
____DOLI ____Fall Mist   ____ Missouri Eve
  ____ Pink Coral 66  _____Winter Citrus
______(write in)__________________
  $15.95 ea
 
    Your Choice of any 6 Fragrance Oils
Save $60 !!
$35.00
 
    Ear Candling Head Drape
reg $29.95
$14.95
 
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=
Eucalyptu
s
/Sandalwood
   
 S=
Surprise
Me

FLAT
RATE
SHIPPING
CHARGE
OF $5.99