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Name: Phone Number:
Street:
City: State: ZIP:

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Qty.
Size
Scent
Color
Description
Weight
(each)
Total
Weight
Price
Each
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Weight of Order:
TOTAL PRICE:
$

*10% Discount for orders of $30.00 and above

Print out form and enclose payment with this form and
mail to Bubbles at 1031 H Street, Arcata, CA 95521,
fax it to (707) 822-3482 or call us at 1-800-398-7627.
Discount (if any*):

$
Subtotal:
 $
Shipping/Handling:
 $
---------------------------------
TOTAL AMOUNT:
$
We are happy to accept the following credit cards:
Visa, Mastercard, American Express, and Discover
Card Number:
Expiration Date:
Signature of Cardholder:

Please also send the following:

  • ______ Another Order Form
  • ______ A copy of our most current print mail order catalog
  • ______ A mail order catalog to a friend - Friend's address: _______________________________________________________________________
  • ______ Put me on the Bubbles Email List to receive special announcements/sale notices (your information will never be sold or given to any other organization!)
    Email Address: __________________________________________________________

Thank You for Your Order!