Order Form - Print, Fill Out, and Mail


Print out this Order Form, fill it out, then mail to the following address along with the check, money order, or credit card number.
Past & Present LLC 
10674 N County Rd 350W
Batesville, IN 47006

812 852-4328


Soap
Price:
Qty:
Price:
Amber
$4.00
 
 
Angel's Touch
$4.00
 
 
Apple Jack &Peel
$4.00
 
 
Bay Rum
$4.00
 
 
Brown Windsor 
$4.00
 
 
Comfrey & Aloe
$4.00
 
 
Emu Spice
$5.00 
 
 
Enticement
$4.00
 
 
Fall Fantasy
$4.00
 
 
Gardener's Green Thumb
$4.00
 
 
Goat's Milk
$4.00
 
 
Hunter-Fisherman
$4.00
 
 
Jasmine
$4.00
 
 
Juniper Breeze
$4.00
 
 
Key Lime Cove
$4.00
 
 
Lavender
$4.00
 
 
Lilac
$4.00
 
 
Lively Lemon
$4.00
 
 
Mechanic's
$4.00
 
 
Moonlight & Roses
$4.00
 
 
Oatmeal & Honey
$4.00
 
 
Only Oatmeal
$4.00
 
 
Palma Rosa
$4.00
 
 
Pet Shampoo
$4.00
 
 
Pine Tar
$4.00
 
 
Plumeria
$4.00
 
 
Pure
$4.00
 
 
Raspberry
$4.00
 
 
RefreshMint
$4.00
 
 
Rosemary
$4.00
 
 
Sensuous
$4.00
 
 
Shampoo Bar
$4.00
 
 
Shangri-La
$4.00
 
 
Tea Tree
$4.00
 
 
Unscented
$4.00
 
 
Vanilla Cream
$4.00
 
 
Whispers of Love 
$4.00
 
 
Wisteria
$4.00
 
 
Woodlands
$4.00
 
 
 
Lotion
Bay Rum
$8.75
   
Frankincense & Myrrh
$8.75
   
Juniper Breeze
$8.75
   
Lavender
$8.75
   
Oatmeal & Honey
$8.75
   
Plumeria
$8.75
   
Raspberry
$8.75
   
Unscented
$8.75
   
Vanilla Cream
$8.75
   
Wisteria
$8.75
   
Masage Oil
Lavender
$5.00
   
Mood Uplifting
$5.00
   
Romance
$5.00
   
Lotion Push Up
Price: Qty: Price:
Fankincense & Myrrh $4.00    
Jasmine $4.00    
Juniper Breeze $4.00    
Lavender $4.00    
Lilac $4.00    
Plumeria $4.00    
Raspberry $4.00    
Unscented $4.00    
Vanilla Cream $4.00    
Wisteria $4.00    
Lip Balm
Creamsicle $2.00    
Lime $2.00    
Orange $2.00    
Spearmint $2.00    
Tangerine $2.00    
Vanilla $2.00    
Unflavored $2.00    
Bath Tea
Aches & Pains $3.30    
Fragrant $3.30    
Perk Up $3.30    
Soothing $3.30    
Tonic $3.30    
Liquid Soap
Angel's Touch $7.50    
Bay Rum $7.50    
Jasmine $7.50    
Juniper $7.50    
Lavender $7.50    
Oatmeal & Honey $7.50    
Raspberry $7.50    
Unscented $7.50    
Vanilla Cream $7.50    
Wisteria $7.50    
Woodlands $7.50    
Powder
Angel's Touch $4.50    
Bay Rum $4.50    
Citrus Sensations $4.50    
Jasmine $4.50    
Juniper Breeze $4.50    
Lavender $4.50    
Lilac $4.50    
Oatmeal & Honey $4.50    
Raspberry $4.50    
Rose Ylang Ylang $4.50    
Sweet Moments $4.50    
Unscented $4.50    
Vanilla Cream $4.50    
Wisteria $4.50    
Woodlands $4.50    
Subtotal:
 
Shipping & Handling:
$5.10
Indiana Residents add 7 percent sales tax:
 
Total:
 

Check enclosed____ Visa____ Mastercard____ _ _ _ U.S. currency only
Charge card number_______________________________ Expiration Date_______  CVC_______
Signed____________________________________
Name____________________________________
Address___________________________________
_________________________________________
Phone number day___________________________
_ _ _ _ _ _ _ _night__________________________

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