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Order Form
for Mountain Products
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Mountain Soapworks
P. O. Box 319
Angel Fire, NM 87710
(575) 377-6625 / (575) 377-9465 (fax)
Bill and Sue Cotton
www.southwesternsoapworks.com
Retail Order Form – effective 2/1/2009
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Bill To:
________________________________________________
________________________________________________
________________________________________________
Phone: __________________________________________
Email: ___________________________________________
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Ship To:(if different)
_________________________________________________
_________________________________________________
_________________________________________________
Phone: (if different)_________________________________
Email: (if different)__________________________________
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Payment Method: Net 30 with Approved Credit: __________
Credit Card: ________________________________________
Expiration: _____________ Security Code: ____________
Name on Card: _____________________________________
Address on Card: ___________________________________
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Special Shipping Instructions: __________________________
__________________________________________________
__________________________________________________
Product Total: ______________________________________
Your Purchase Order Number: ________________________
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Natural Cold Process Soap 2.5 oz. @$4.50 each:
_____ Cedar & Sage
_____ Lavender & Sweetgrass
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Pure Vegetable Glycerin Soap 2.5 oz. @$4.50 each
_____ Huckleberry
_____ Mountain Cider
_____ Rocky Mountain Rain
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Hand & Body Lotion 8 oz. @$11.50 each:
_____ Cedar & Sage
_____ Huckleberry
_____ Lavender & Sweetgrass
_____ Mountain Cider
_____ Rocky Mountain Rain
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Hand & Body Lotion 4 oz. @$7.50 each:
_____ Cedar & Sage
_____ Huckleberry
_____ Lavender & Sweetgrass
_____ Mountain Cider
_____ Rocky Mountain Rain
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Organza Bags for Gifts (Priced Individually) :
____ 5 x 8 white $1.50 _____ 5 x 8 red $1.50 _____ 5 x 8 gold $ 1.50
____ 5 x 10 white $2.10 _____ 5 x 10 red $ 2.10 _____ 5 x 10 gold $ 2.10
____ 8 x 12 white $2.60 _____ 8 x 12 red $2.60 _____ 8 x 12 gold $ 2.60
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Form: MSW_R_2009.090201
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