CREATION SOAP ORDER FORM -
Print and complete this form to order by fax or mail.
Mail Orders To:
Creation Herbal Products
2760 River Road
Frankfort MI 49635 or
Order by phone 1-231-352-9600
Bill To Information:________________________________
Full Name:__________________________________________
Company:____________________________________________
Address:____________________________________________
City:____________________State:__________Zip________
Country:________Telephone:__________________________
Visa or Mastercard#___________________________________
exp. date_________________
Work/Alt. Phone:_________________Fax:_______________
E-mail:_____________________________________________
Ship To Information:
Full Name:___________________________________________
Company:_____________________________________________
Address:_____________________________________________
City:______________________State:_______Zip:_________
Country:___________Telephone:________________________
Work/Alt. Phone:_____________________________________
Fax:______________________E-mail:____________________
Payment Information:
Card #______________________________________________
Circle 1:Visa Mastercard American Express Discover
Exp. Date_____________Signature_______________________
Name as Appears on Card:_______________________________
S i g n a t u r e :____________________________________
Product Id#______Product__________________________
Size_____Price_______Qty____Total This Item_______
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Product Id#______Product__________________________
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Product Id#______Product__________________________
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Product Id#______Product__________________________
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Product Id#______Product__________________________
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Product Id#______Product__________________________
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Product Id#______Product__________________________
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Product Id#______Product__________________________
Size_____Price_______Qty____Total This Item_______
Sub - Totals__________________________
Totals________________________________
*Shipping & Handling for Ground Shipments
Base Shipping is $6.95 per order plus .55 for each pound of products.
Total of Order MIchigan Residents Only: Add Sales Tax of 6%
Add Shiping & Handling Total (or call for shipping quote)
3-Day select, 2nd Day & Next Day Air shipping Call for Quote
Total Order A m o u n t_____________________
Creation SOAP - www.creationsoap.com