KOUNTRY LIGHTS CANDLES

To order please print out order form, make check payable to: Kountry Lights Candles
and mail this form with payment to the address at the end of this order form!
Thank You for your order!

CUSTOMER INFORMATION

Name:_________________________________________

Address:_______________________________________

City, State, Zip:__________________________________

Email Address:__________________________________

Telephone:__________________________________

ORDERING INFORMATION

Item#_____ Description:_______________ Scent:___________ Color:________Qty:___ Price:_______

Item#_____ Description:_______________ Scent:___________ Color:________Qty:___ Price:_______

If you need more space, please use a blank piece of paper.

Shipping is as follows:
$0.00 to $10.00    = $5.75
$10.01 to $30.00 = $7.25
$30.01 to $50.00 = $9.75
$50.01 to $150.00   = $10.75
$151.01 or more  = Add $5.00 per $50

Subtotal:__________

Shipping:(from above table) ________

FL Res. Only Add Sales Tax 7%:________

Total Due:_________

Method of payment

We accept checks or money orders. Money orders are shipped within 5 days, Checks take 10 days to clear before merchandise will be shipped out. U.S. ONLY!
$20.00 Minimum Order.
Payment Options

Pay by Credit Card

Card Number:
Expiration Date:

Pay by Check/Money Order

PLEASE PRINT THIS ORDER FORM AND MAIL WITH PAYMENT.
Make check/money order payable to: Kountry Lights Candles
Mail your payment and this filled out form to:
Kountry Lights Candles
3312 Apfel Road
Zephyrhills, FL 33543

Don't forget to make check or money order payable to: Kountry Lights Candles

E-mail: Kountrylights@aol.com

Thanks for shopping with us!!

CUSTOMER INFORMATION

ORDERING INFORMATION

Method of payment

Click Here To Go Back to Home Page