Printable Order Form for Southwestern Fragrances from Desert Scents LLC

   Order Products from Desert Scents™ LLC
    Print out this form for mail or fax ordering.
   We can only ship by ground within the lower 48 United States.

Item	Price		Quantity		Total
Fragrances:
Turquoise & Silver™	$34.50	x	______	=	$______
Tumbleweed & Sage™	$34.50	x	______	=	$______
			Subtotal:		$______
*Shipping info: >1st item - add $7.50> Order 2 or more, any combination, and receive free ground shipping. (Must be shipped to the same address.)			*Plus Shipping:**	=	$______
New Mexico Residents: Add NM tax	subtotal	x	.06	=	$______
			TOTAL:		$______

____ check or money order enclosed ____ charge my credit card

BILL TO (Must match info on credit card account. Please fill out completely):
Name on Card: _____________________________________

Address __________________________________________

City _________________ State ____ Postal Code ________

Phone ___________________ Email ___________________

Type Card: __ Visa __ Mastercard

Card Number: _____________________________________

Expiration Date: [mm/yy] ___ / ___

SHIP TO (Sorry, no PO Boxes):

Name ____________________________________________

Address __________________________________________

City _________________ State ____ Postal Code ________

Phone ___________________ Email ___________________

Mail Order Form to:
Desert Scents™ LLC
PO Box 364
Placitas, NM 87043

Fax Order Form to:
505-867-1750

Ordering Questions? Phone: 505-867-5750 Email: info@desertscents.com