Ear Candle Order Form

DaKara Kies Company P.O. Box 1354 Marysville, WA 98270

(425) 267-9730 OR 1-800-813-3877
FAX 425-953-4304

Print out, complete, and mail or FAX this form to the above address or fax number

E-mail: (Cut & Paste form): dakara@dakara.com

	Ship to:
	Name:_________________________________________________________________
	Address :_______________________________________________________________
	City:____________________________________ST________ ZIP_________________
	E-Mail Address__________________________________________________________
	Phone#(_______)________________________________________________________
	VISA/MASTERCARD #___________________________________________________
	Exp _____-_____ CVV # ________
	Signature______________________________________________________
	Billing Address if same as Shipping write SAME Address:___________________________________________________ City:___________________________ ST __________ ZIP______________

(E-mail requests must include phone number)

Pricing

(All Funds USD)

5 Candles or less	$3.00 each
6 - 23 Candles	$2.75 each
2 dozen - 5 dozen Candles	$30.00 dozen ($2.50 each)
6 dozen - 12 dozen Candles	$27.00 dozen ($2.25 each)
12 dozen & Up Candles	$24.00 dozen ($2.00 each)

Mt. Spirit Ear Oil	$8.25 each (1 fl. oz.)

(Mt Spirit Ear Oil Ingredients: Fresh Mullen flowers, Yarrow, Witch Hazel, St John's Wort in an olive oil base. with or without Garlic.) Wild Crafter and or organic herbs.)

Herbal Blend: These Ear Candles have been treated with a formula created by a Master Herbalist. Ingredients: Sage, chamomile flowers, burdock root, jojoba, rosemary leaves, periwinkle, quassia bark and yucca root. Candles are made of a blend of Soy and Bees wax.

Description	QTY	Price Each	Total
Soy & Bees Wax Herbal Blend Ear Candle	______	_________	$__________
Mt. Spirit Ear Oil	______	_________	$__________
Mt. Spirit Ear Oil w/Garlic	______	_________	$__________

Subtotal			$__________
Sales Tax (WA ST ONLY) 8.9%			$__________
Shipping & Handling (see chart)			$__________
Total Due			$__________

VISA, MASTERCARD, DISCOVER & PayPal ACCEPTED

Shipping & Handling First Class (continental US only)

Order Amount

S & H

$0-25.00

$7.50

$25.01 - $50.00

$8.75

$50.01 - $75.00	$9.75
$75.01 & Up	Email or Call for Quote

Orders usually ship within 1-5 days. Most US shipments will arrive within 7 working days if using a Credit Card or Money order. Orders placed with personal checks are delayed up to 14 days, for bank processing time.

Foreign countries (Surface) $15.00 or 10% of your order, whichever is greater. Please allow eight weeks for your order to arrive.

Foreign countries(AIR) $20.00 or 20% of you order, whichever is greater.

Foreign countries (GLOBAL EXPRESS) email for rate

These shipping and handling charges are estimates. In some cases it may be necessary for charges to be adjusted.

DaKara Kies Company is committed to the preservation of the Earth and makes a concerted effort to use and reuse and recycle materials both in the production and shipping of our products. You may receive your order in an unusual package or with a combination of packing materials. We urge you to reuse whatever you can or recycle.

Thank you for your order!

Please mail this completed form with payment to the address above or call with credit card number.

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