Mystic Candle Shop.com and         
Lucky 13 Clover Order Form
"Where Good Luck has Come to Stay"

(916) 205 - 9490

E-mail order to: admin@lucky13clover.com

Mail order to:
5302 Tamarindo Lane
Elk Grove, CA 95758

QUANTITY                               ITEM NAME                           PRICE EACH            TOTAL

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TOTAL ITEMS                              TOTAL PRICE                       ADD SHIPPING
(see below)

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PRICE TO BE BILLED BY INVOICE OR ENCLOSED IN ORDER $_____________________     
                                                                             
NEW!
Shipping Charges -      1 - 4 Sachets, Incenses, Bath Crystals or Oils - $6.00 flat fee

                          5 - 19 Sachets, Incenses, Bath Crystals or Oils - $9.00 flat fee

                          20 - 40 Sachets, Incenses, Bath Crystals or Oils - $12.00 flat fee

All items shipped USPS Priority Mail and delivered within 3-5 days of notice of shipping from us

Add up total number of items, see shipping chart and add postage accordingly. Total of cost of product AND
shipping will go on the "Price to be billed by invoice or enclosed in order" - THIS IS THE PRICE YOU PAY. Any
errors in order will cause us to contact you and may hold shipping of order. QUESTIONS?  CALL US at (916)
205 - 9490 (leave message if phone is busy)

Don't See Something You Need?  -  Call us!  We have more product than what is on the site! (916) 205 - 9490

*******  All Invoices are through the PayPal secure shopping system *******
*  
or mail a Money Order or Check to us with your order to the address above  *

Your Name: ______________________________________  PHONE: (         )___________

Your Address:_________________________________________________________________
                               (house number and street name)                                                      (city)                          (state)          (zip code)

SHIPPING ADDRESS:________________________________________________________________________________
                                         (may be different than your address)


TODAY'S DATE:________________________________                       First Time Order? (circle)   Y   /   N

E- MAIL:______________________________________________________________________