Scentsy Order Form

You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. If you would like to see the notice of cancellation, please email Keri or Christy and they will be happy to send you a copy, or see our webpage for details.

First and Last Name

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Contact Phone

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Contact Email

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I prefer to be contacted about my order by:

we will contact you with order confirmation and final cost, when your order is ready, or when shipped if you have it sent direct

Contact Phone Call
Contact Phone Text
Contact Email
Other:

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Contact Street Address

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Zip Code

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Please list: Quantity, Product Name, Unit Cost, & Total Cost, including 8.4% tax

you may also include this information in an email to us - we always confirm price

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How will you make payment?

Check (made out to Keri Tomasetti or Christy Buehler)
Credit Card (information is not stored, unless requested)
Cash
Gift Certificate

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Name on Card?

We accept MasterCard, Visa, AmericanExpress, Discover

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Please contact us personally, call to give your information, or fill out an order form in the front office. We do not store this electronically for security purposes.

When my order arrives, I would like to:

Pick it up at Liberty
Send it home with my Student (include name and grade in "other" below)
Have it delivered or meet (we will contact you and make arrangements)
Other:

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I am possibly interested in the following:

NO obligation

Hosting my own party so I can earn free items!
Becoming a consultant
Having a Basket Party to take with me so I can earn free items!

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Any questions or comments?

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