Cierra Candles - Order Form

ORDER FORM
NAME				DATE
ADDRESS
CITY, STATE				ZIP
PHONE			E-MAIL

ITEM	QTY	DESCRIPTION		PRICE	AMOUNT












ORDER TOTAL
SHIPPING
Actual shipping cost will be added to credit card orders. If paying by money order or cashier's check, please add $5.00 + 20% of the order total. If the amount is less, we will issue a refund check for the difference. If the amount is more, we will invoice you for the amount due.
SUBTOTAL
SALES TAX (add 7.375% to subtotal if shipped to Nevada)
TOTAL
PAYMENT INFORMATION
____MONEY ORDER	____CASHIER'S CHECK (no personal or business checks, please)
____VISA	____MASTERCARD		CARD #
___DISCOVER	____AMERICAN EXPRESS		EXPIRATION DATE
Thank you for your order!			SIGNATURE