For check or money order payment, fill out this form, print it and mail it along with your payment to: Christina Clarke • 110 Summer House Lane • York, PA 17408. Make checks or money orders payable to "Christina Clarke".

Name:
SHIPPING ADDRESS  (Priority Mail will not ship to P.O. Box numbers)
Street:
City: State:
Zip Code:
Phone:
Email:

Product Name:

Size:    Quantity:     Scent:

 
Total Price :      

Product Name:

Size:    Quantity:     Scent:

 
Total Price :      

Product Name:

Size:    Quantity:     Scent:

 
Total Price :      
Merchandise Total:      
FREE SHIPPING FOR ALL RETAIL CUSTOMERS
Add 6% sales tax for PA residents:     
TOTAL AMOUNT DUE: