| THE CANDLELADY P.O. Box 49193 Greenwood, SC 29649 |
Phone - 864-943-5161 E-Mail - candlelady@nctv.com |
Date: ______________________________ Customer Name: ______________________ Street Address: _______________________ __________________________________ City: _____________ State: ___ Zip: ______ Phone: _____________________________ E-Mail: _____________________________ |
Shipping Address if Different: ____________________________ ____________________________ ____________________________ ____________________________ |
| Item | Fragrance | Qty | Price Each | Total |
|
We Accept Personal Checks (please write
driver's license number and phone number on check) and Money Orders. Please
allow up to ten days for your order to arrive. |
|
Please print this form and mail with your check to the address below:
The Candlelady
P.O. Box 49193
Greenwood, SC 29649