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
 
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.
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
Min Order
Description
Scent
Unit
Price
Line Total
  none
4 Pack Ear Candles Mail / Fax  SPECIAL
Unscented
$4.99
 
  none
4 Pack Ear Candles Mail /  Fax SPECIAL
Lavender
$4.99
 
  none
4 Pack Ear Candles Mail / Fax  SPECIAL
Eucalyptus/Sandalwood
$4.99
 
           
  10-49
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 & Up
Loose Soy Wax Blend Ear Candles
*P   L   E  S  Mix
$  .86 ea
 
           
  4 Pack
Premium Beeswax Double-Dip Tipped
Ear Candles  15 minute burn time
Unscented
only
$12.00
 
  12 Pack
Premium Beeswax Ear Candles   
Unscented only
$ 27.00
 
  75 Pack
Premium Beeswax Ear Candles
Unscented only
$150.00
 
           
  none
Missouri Scents Ear Oil
  $ 6.95ea
 
  5 or more
Missouri Scents Ear Oil
reg $6.95 ea
$4.95 ea
 
  none
Missouri Scents FRAGRANCE OILS
Choose Scent:  ___ Missouri Eve                   
____Winter Citrus  ____ Cranberry Infusion
___ Pink Coral 66
reg  $15.95
intro special
price save $10!
$5.95 ea
 
           
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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