Let the Universe Handle the Details
Flower Essences Order Form

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 & FAX requests must include phone number)


All Funds USD

Item Description
Qty
Price
Total
Let the Universe Handle the Details 1 fl. oz. ____ $24.95 $_____________
       
Subtotal
     $_____________
Shipping & Handling (See Chart )
     $_____________
Washington State Tax 8.9% (Orders shipped within Wash St. Only)
     $_____________
Order TOTAL
     $_____________ 
 

Shipping & Handling (continental US only)

Order Amount S & H
1 Bottle $4.00
2 Bottles $5.00

3 to 6 Bottles $7.00
Over 6 Bottles, email or call for quote

Surface (Foreign countries): add $4.00 (USD) to prices above. Please allow eight weeks for your order to arrive.
Air (Foreign countries): add $6.50 (USD) to prices above.
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 recyclable materials.  You may receive you order in an unusual package or with a 
combination of packing materials.  We urge you to reuse whatever you can of the packing materials.

Thank you for your order!

Please email/mail or fax this completed form to the address above or call with your Visa/Mastercard number.

DaKara Kies Company"s order form is non-encrypted and credit card orders are placed at your own risk.
Please read our policy on ordering with your credit card.

Email to: Dakara@Dakara.com

Mail to: Dakara Kies Co
P.O. Box 4338 Everett, WA 98204
(Orders mailed to the PO Box may incur a delay of shipping of an additional week)

FAX: 425-953-4304

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