Natures Scents Order Form

MSI
Mystical Sciences Institute
(847) 866-0505
info@msi-healing.com

PRINTABLE ORDER FORM

Please print out this form, fill out completely
and send to address below.
For your convenience we now accept

Call In Your Order
Same Day Shipment
Return To Nature's Scents Catalog

Title of Product

Shipping and Handling charges are based on the total price of your order.
You will recieve a confirmation upon the receipt of your order.

If do not see a product that you are looking for please contact us info@msi-healing.com
Return To Scents of Nature Catalog

To order:
Call 847-866-0505 or fax your order to MSI at 847-866-4096
or make check payable to: MSI
Mail check to: The Mystical Sciences Institute PO Box 1146, Evanston, IL 60204
Please write in your address below. Please print clearly.

Name________________________________________________

Address_______________________________________________

City____________________________State__________Zip______

Phone _______________________________________________________
(To be used only for questions about your order.)

Title of Product		Price -	Qty	Total

Relationship Spray 2 oz. glass bottle		$15.00 2 oz.

Bamboo & Lotus Root 2 oz. glass bottle		$19.00 2 oz.

Sedona Forest Retreat 4 oz. glass bottle		$18.00 4 oz.

Organic Hand Cleaner 4 oz. glass bottle		$4.00 4 oz.

Five Element Spray 4 oz. glass bottle		$18.00 4 oz

	Call In Your Order For Same Day Shipment
Shipping and Handling charges are based on the total price of your order. You will recieve a confirmation upon the receipt of your order.
Purchase Total		Shipping Charge
$10.00 - $49.00		$7.00
$50.01 - $75.00		$10.95
$75.01 - $100.00		$12.95
$100.01 - $200.00		$14.95
Sub Total =
Total =
If do not see a product that you are looking for please contact us info@msi-healing.com Return To Scents of Nature Catalog
To order: Call 847-866-0505 or fax your order to MSI at 847-866-4096 or make check payable to: MSI Mail check to: The Mystical Sciences Institute PO Box 1146, Evanston, IL 60204 Please write in your address below. Please print clearly. Name________________________________________________ Address_______________________________________________ City____________________________State__________Zip______ Phone _______________________________________________________ (To be used only for questions about your order.)
To pay via credit card: Name as it appears on card_________________________________________________ Credit Card Number ________________________________Expiration Date:__________ Signature________________________________________________________________ Billing Address___________________________________________________________ City___________________________ State__________ Zip Code___________________
Call In Your Order Same Day Shipment Thank you for your order.

Back to Home MSI Mystical Sciences Institute (847) 866-0505 info@msi-healing.com	PRINTABLE ORDER FORM Please print out this form, fill out completely and send to address below. For your convenience we now accept Call In Your Order Same Day Shipment Return To Nature's Scents Catalog