Accessory Order Form

To help us process your order, please provide as much information as you can. The fields marked with "*" below are required. The form will not process without these fields filled in. However, the optional fields will help us to deliver your product more efficiently.

Your check or money order welcomed!

All orders shipped US Postal Service 2nd day unless otherwise specified.

Please provide the following contact and shipping information:

First name*

Last name

Street address*

Address (cont.)

City*

State/Province*

Zip/Postal code*

Country

Work Phone

Home Phone

FAX

E-mail*

* = Required

Please choose the accessories you would like:

Accessory	Qnty	Fragrence/Color	Price
Country/Folk Art Collection
Americana Star Box			$22.00
Americana Heart Box			12.95
Americana Potpourri Bags			7.50
Country Birdhouse Box			10.95
Folkart Family Box/Water Can			14.50
Country Basket			12.95
Window Seal Garden Candle			18.50
Twinkle Star Box			12.95
Twinkle Star Bag			9.99
Decorative Fruit Plate			14.95 ea
Victorian Key Collection
Hat			26.00
Hat Stand			14.50
Potpourri Bags			14.95
Green Bisque Decantor Candle			13.95
Green Bisque Box Candle			9.95
White Bisque Vase Candle			7.50
White Bisque Square Candle			6.00
White Bisque Heart Candle			$ 6.00

top

First name*
Last name
Street address*
Address (cont.)
City*
State/Province*
Zip/Postal code*
Country
Work Phone
Home Phone
FAX
E-mail*

Accessory Order Form

All orders shipped US Postal Service 2nd day unless otherwise specified.

Please choose the accessories you would like:

Last update: 12/25/99