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Scent Secrets Local Delivey

Scent Secrets
Mail Order/ Local Delivery Form
Scent Scecrets is proud to offer local delivery for customers within 25 miles of Ellington, Missouri.

If you would like to place an order for local delivery by mail or simply do not want to order over the internet, Please fill in all areas of the form.  You can type in the form and then print it out - or - print first and then fill in the form by hand. You may fax this form to (417) 473-9850 or mail with payment to the address at the bottom. Please contact us with any questions regarding ordering procedures.
DELIVERY ADDRESS
Name
Address

City

State

Zip Code

Phone

BILLING ADDRESS
Check if same as Delivery Address.  
Name
Address

City

State

Zip Code

Phone

E-mail 

Please check if you would like e-mail confirmation of your order and shipping status.
DESCRIPTION (specify Brand/Size/Sex/Type) QTY Price Each Total Price

Mail Order Shipping Options:
  • Non- Local Orders: add $5.95 plus $1.00 for each additional. Free shipping on orders of $100.00 or more for United States, Hawaii & Alaska
  • Add $9.95 for Canada or APO/FPO
  • Other Countries: Please Inquire

Customer Service:

E-mail: cs@scentsecrets.com

Total  

MO Res. Add Sales Tax 7.25% 

Shipping  

ORDER TOTAL  

Credit Card Payment:
Visa MasterCard AmEx Discover
Card Number:
Expiration: / CVV2 #:
Name on Card:
You may fax this form to (417) 473-9850		 To pay by check or money order in U.S. funds:

Make payable to: ScentSecrets.com

Print and mail form with payment to:
Scent Secrets Orders
P.O. Box 727
Ellington, MO 63638

 

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