Online Order Form

This is a two-part order form. First, please complete all information about your order and where to ship it (if you include your email address you will receive UPS confirmation of the shipment). Second, please complete the payment information below the product information on our form. You must include your phone number the banks phone number and your email address. We do not use your email address for any purpose other than providing you with your UPS tracking number or contacting you in regards to your order.

Name

Address

City/State

Zip

Phone

Fax

E-mail 

Product Order Information



Payment Must Accompany Order!


(Please List Lotion Scent or Type of 
Mineral Water Under Special Instructions Below)








							



Item #1  

Size     

Price    

Quantity 

Total    





Item #2  

Size     	

Price    	

Quantity 	

Total    	





Item #3  

Size     

Price    

Quantity 	

Total    





Item #4  

Size     	

Price    

Quantity 	

Total

Shipping Chart
UPS Ground - USA Only
Order Amount S&H Charge
< $50 $9.00
$51 - $100 $11.00
$101- $250 $14.00
$251 - $500 $19.00 (25kg call)
> $500 Please Call

Online Check Form

Please Complete All Sections 





Name(s) on Check    Required

Bank Name               Required

Bank Address            

Bank City/State/Zip Required

Bank Phone#            



Check #                    Required

Check Date               Required

Amount of Check     Required

Fractional #s            Required---Top right/center of check

9-digit Transit#        Required

Account #                 Required

Each dishonored check subject to a $30.00 service charge,
which may be added to the amount of the check tendered.

Special Instructions

We must have your phone number or email in case we have questions about your order. For any questions that you may have, please call 503-617-9008 Pacific Time Zone

Fax Check Option for Payment

Dancing Wolf, Inc.