Visions In Wax - Mail Order Form

Visons In Wax Mail Order Form
Print out this page and fill it in as you browse the site,  then mail the order and your check/ money order to:
Nicole Abbed c/o VIW
3204 Brunswick St.
Danville IL 61832

Shipping Information
Name  
Street Address  
City, State, Zip  
Phone Number  
E-mail Address  
Order Information
Description color & scent Quantity personalization Total
           
           
           
           
           
           
           

Sub-Total:  

 
If you are an Illinois Resident, please calculate 7.25% sales tax    
* Shipping Charge: (Please refer to the chart below for the proper amount to add)    
(Please pay this amount) GRAND TOTAL:    
If your Sub-Total is between $0.01 to 10.99 add $6.95
If your Sub-Total is between $11.00 to $49.99, add $9.95
If your Sub-Total is between $50.00 to $99.99, add $12.95
If your Sub-Total is between $100.00 to $199.99, add $17.95