Order Form

www.geocities.com/o2essentialoils/

SOLD TO

Name:

Address:

City, State, Zip:

Phone #:

E-Mail:

Please mail payment

and order form to:

Shawn Barbagallo

1004 Westchester Dr

Rockford, IL 61107

Order form can be faxed to: 815-282-3291

Orders can be called in to: 815-988-7747

(9 A.M. – 7 P.M. Central Time)

Orders can be e-mailed to: O₂EssentialOils@aol.com

We accept Visa & MasterCard (through www.Paypal.com, user ID (o2essentialoils@aol.com), Cashier's Check, Money order or Personal Check.

* Personal Checks require a minimum 10 business day hold to clear