Seeds for Change Wellness Product Mail Order
105 Oak Drive
Sellersville, PA 18960
Product Name/ Description
|
Catalog Item #
|
Unit Price
|
Qty
|
Total
|
ex: Spurling Ring 1/2 Sacred Cubit
|
1_2SC
|
$20.00
|
2
|
$40.00
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
SUBTOTAL:
|
|
|
| |
|
INSURANCE:
|
|
|
PA residents add 6% sales tax
|
|
PA Sales Tax
|
6 %
|
|
| |
|
TOTAL :
|
|
|
|
CUSTOMER INFORMATION: Please Type or Print Clearly
Name:_________________________________________________________
Street Address: ________________________________________________
________________________________________________
City/Town: ________________________________________________
State: _________________ Zip Code: ______________________
Email Address: _________________________________________________
Telephone Number: ___________________
Payment Accepted: Check or USPS money order
Insurance Must Be Added to the Bill for any orders totaling $100.00 this is to protect
against lose or damage. The insurance rates used are standard from the USPS. Please use
the rates listed below:
ORDER INSURANCE ORDER INSURANCE
$100 - $199 $2.60 $400 - $499 $ 6.50
$200 - $299 $4.60 $500 - $599 $ 7.45
$300 - $399 $5.55 $ 600 + $7.45 plus $0.95 per $100