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Discount Subtract 10% if you ordered 3 or more SoulBursts with the same ashes |
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Shipping Cost US Shipping is 6% of total order price |
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ORDER FORM
To order, please print this form and fill in by hand. Include your ashes and send to:
Michelle Kaptur
23545 Rickard Rd.
Bend Or. 97702
- Order form is filled out and enclosed.
- Cremation ashes are included in a zip lock bag with your name on it. (1 tsp. Per SoulBurst)
- If paying by check, check is made out to Michelle Kaptur.
- The most secure way to send ashes and check is via UPS with a tracking number.
Print and use one form for each companion.
You can also mix different ashes together in one SoulBurst.
Name _____________________________________________________________________________
Shipping Address ___________________________________________________________________
City ____________________ State ____ Zip _______ Phone (_______) _______ -
Email Address ______________________________________________________________________
Person or Companions Name ________________________________________________________
Method of Payment ________ Who referred you to SoulBursts?__________________________
