Dec Retail orderform cdr

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Dec Retail orderform cdr Powered By Docstoc
					                                                                 www.e3emuproducts.com
                                                                      E-mail: e3info@telus.net                                 Box 621, Alix AB T0C 0B0
                                                                       Effective January 1/2011                                  Phone: 403-747-3872

Toll Free (877) 879-8136                                        RETAIL ORDER FORM                                                  Fax: (403) 747-2825
Item #       Pure Emu & Ostrich Oils                 Retail    Quan       Total      Item #       OSEM Spritzers 4 oz                Retail     Quan          Total
 103         Emu Oil Pump - 5ml                      $2.99                            743    Mulberry Fragrance            $12.99
 104         Emu Oil 2 oz / 60 ml                    $19.99                           745  Lily of the Valley Fragrance $12.99
 106        Emu Oil - 8 oz / 240 ml                  $65.99                          746 Cranberry Peach Vanilla Fragrance $12.99
Item #           Creams and Lotions - 6.5oz
                    EMUderm Cream                    Retail    Quan       Total      747 Mountain Laurel Fragrance         $12.99
 105          EMUderm Cream - 6.5oz                  $13.99
                                                                                     748 Hawaiian Plumera Fragrance $12.99
              For Extremely Dry Skin                                                 750      Almond Fragrance             $12.99
 114      Comfort Plus Anti-Pain Cream - 6.5oz       $14.99                          755 Orange Pomegranate Fragrance $12.99
 126           RASMU 30 Ultra Lotion 2oz             $27.99                          758        Unscented - No Fragrance             $12.99
 400        Raspberry Skin Quencher - 6.5oz          $12.99                          759        French Vanilla Fragrance             $12.99
 401      Orange Cinnamon Skin Quencher - 6.5oz      $12.99                         Item #           Shampoo                         Retail    Quan           Total
 402      Melon Blossom Skin Quencher - 6.5oz        $12.99                          519       e3 Shampoo - Unscented - 8 oz        $10.99
 403      Kiwi Mango Skin Quencher - 6.5oz                                           520        e3 Shampoo - Scented - 8 oz         $10.99
                                                     $12.99
 404        Natural Skin Quencher - 6.5oz            $12.99                         Item #               Bar Soap                    Retail     Quan          Total
 405      Hawaiian Plumerial Skin Quencher - 6.5oz   $12.99                         059          Organic Emu Soap                   $5.99

Item #       EMU Silk 75ml                           Retail     Quan      Total      Item #          For Your Pets                   Retail     Quan           Total
 701         EMU Silk - Almond                        $9.99                          120 Veterinarian’s Assistant - 8oz/240ml $19.99
  710   EMU Silk - Thai Coconut Scent                $9.99                                    Nature’s Defense Horse & Pet
  711       EMU Silk - Unscented                     $9.99                           130 Protective Spray 16.7oz/500 ml             $14.99
  714  EMU Silk - Orange Pomegranate Scent            $9.99                         Item #           Nature’s Defense                Retail    Quan           Total
  715    EMU Silk - Water Crystal Scent              $9.99                          121 Outdoor Lotion - 4 oz / 120 ml               $9.50
  718      EMU Silk - French Vanilla                 $9.99
                                                                                    122 Outdoor Spray - 4 oz / 120 ml                $9.50
 721       EMU Silk - Honeysuckle                    $9.99
  723    EMU Silk - Hawaiian Plumeria                $9.99                          Item #            Feather Products              Retail     Quan           Total
  724     EMU Silk - Mountain Laurel                 $9.99                           995         Mini Emu Feather Duster             $10.00
  725 EMU Silk - Cranberry Peach Vanilla             $9.99                          Packaged Feathers 4 gr - Red, Purple, Tan
 726      EMU Silk - Lily of the Valley              $9.99                          Seafoam Green, Orange, Fushia, Black, $6.00
 727          EMU Silk - Mulberry                    $9.99                          Cocoa Brown, Pink, Blue, Yellow, Natural
  728       EMU Silk - Bayberry                      $9.99                          997-01 Fly Tying Pkg - (8colors of 5each=40) $6.00
 Item #              Lip Balms                       Retail     Quan       Total                    Miscellaneous                    Retail Quan              Total
 108 Emu & Tea Tree Lip Balm                         $3.29                           999           Blown Emu Eggs                    $12.99
 328    Peppermint Lip Balm                          $3.29                           200            Emu Cookbook                      $6.99
 329 Raspberry Sensations Lip Balm                   $3.29
                                                                                                                                COLUMN 2 TOTAL
 330    Very Cherry Lip Balm                         $3.29
 331 Marvelous Melon Lip Balm                        $3.29                                                                          Column 1 Total
 332 Blueberry Bomber Lip Balm                       $3.29
                                                                                                                                    Column 2 Total
 Item #              Other Products                  Retail    Quan
                                                               Quantity    Total                                                 Sub-total of Order
 110 Cold & Flu Body Balm - 20ml             $6.99
 112 Emu Eggshell Capsules - 30/510mg $29.99                                                              Please call for a quote to your Province or State
 115       Comfort Stik - 7.5 ml             $3.49                                                                                            Sub-total
 120 Veterinarian’s Assistant (8oz/ 240 ml) $19.99                                 Effective                                                      GST
                                                                                   Jan 1/2011                                                 TOTAL
                                            COLUMN 1 TOTAL

                                                               Please fill out this information:
SHIP TO: Name:                                                                                     Method of Payment
           Address:                                                                                Cheque            Paypal
           City:                                         Postal Code:
                                                                                                   VISA/Mastercard Expiry ______/______
           Email Address:
                                                                                                   NO#__________________________/_____
           Phone:                                       Fax:                                       Prices Quoted are in Canadian Funds
                                                                                                                                                        Last 3 Digits on
                                                                                                                                                          Back of Card

				
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