PURELY SOAPIN' MAIL ORDER FORM
(253)473-2038
Print it out, fill it in, then send it to:
Purely Soapin'
818 East 61st Street
Tacoma, WA 98404

If you would like to expidite your order, email me to let me know it was sent.
Thank you!

Description
Qty
Price Each
Total Price
* # $ $
* # $ $
* # $ $
* # $ $
* # $ $
* # $ $
* # $ $
* # $ $
* # $ $
Sub-total $
S & H $
Please make check or MO payable to: PURELY SOAPIN' Add Sales Tax for
Wash. residents only
$
$
Amount Due $

Shipping and Handling Charges
Please contact me for S&H charges if not in the US:
karen02@purelysoapin.com
or
(253)473-2038

NAME_________________________________________________________

ADDRESS_______________________________________________________

CITY_________________________STATE___________ZIP______________

Please include your phone number in case there is a problem with your order.
It will be kept strictly confidential!

PHONE # (___________)_____________________________________

EMAIL (optional)__________________________________________

How did you find or hear about PurelySoapin.com?(please mark one)

Google
Another Search Engine
Friend or "Word of Mouth"
Other___________

Any additional comments or special requests:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

www.purelysoapin.com