______________________________             _______________________________

______________________________             _______________________________

Briefly explain any issue(s) you would like to address, i.e. depression, self esteem, anxiety, etc.
(It is not necessary to list anything as your High Self will know what needs to be addressed.)

HOLD HARMLESS AGREEMENT

If the Flower Essence blend is for a pet/animal please complete Pet Profile
and mail it with this form.

Personal Flower Essence Blends come in a 1 fl oz. (30 ml) Blue Cobalt bottle. Each one will generally have 5 to 10 essence's. Cost $39.00 USD each. Information on the essences used will be included with your shipment. For pets/animals the information varies and may not seem directly related. Some information is available for animals and will be included, if it applies.
PLEASE COMPLETE THE REQUIRED SECTION ABOVE and email or fax

________________________________________________
______________________________________

Planetary Earth Change Essence Master Blend Available in 1/2 fl. oz. Concentrate $23.95 and
1 fl. oz. Dosage $18.95. Original 4 blends also available go here to learn more.

Chakra Balance Essences Three Formulas: Ground and Release, Divine Love,
Awaken to Spirit, Available in 1/2 fl. oz. Concentrate $19.95, 1 fl. oz. Dosage $15.95, 2 fl. oz.

Dakara's Calming Essence for Pets is available in a 1 fl. oz. (30 ml) Dosage bottle
(used directly in the mouth, on paw pads or in water bowl) $15.95. also available
2 fl.oz. (60 ml) Spray Mist $15.95

Dakara's Rescued Animal Support is available in is available in a 1 fl. oz. (30 ml) Dosage bottle (used directly in the mouth, on paw pads or in water bowl) $19.95.
10% of Animal Rescue Blend sales goes to support Animal Rescue Shelters
Dakara's Calming Essence is available in a 1 fl. oz. (30 ml) Dosage bottle $15.95.

All Funds USD

Item Description	Price	Pay Pal Shopping Cart
Custom Personal Flower Essence Blend	$39.00
Chakra Balance Essences
Ground & Release 1 fl. oz Dosage	$15.95
Divine Love 1 fl. oz. Dosage	$15.95
Awaken to Spirit 1 fl. oz. Dosage	$15.95
Ground and Release 1/2 fl. oz Stock Concentrate	$19.95
Divine Love 1/2 fl. oz Stock Concentrate	$19.95
Awaken to Spirit 1/2 fl. oz Stock Concentrate	$19.95
Planetary Earth Change Essences
Planetary Earth Change Essence Master Blend (all 4 blends in one bottle - Earth Shift, Tremor Relief, Vibrational Balance and Moving up to 5th)
Master Blend - Dosage 1 fl. oz.	$18.95
Master Blend -Stock Concentrate 1/2 fl. oz.	$23.95
Planetary Earth Change Essence 4 separate blends
Earth Shift - Dosage 1 fl. oz.	$15.95
Earth Shift - Stock Concentrate 1/2 fl. oz.	$19.95
Tremor Relief - Dosage 1 fl. oz.	$15.95
Tremor Relief - Stock Concentrate 1/2 fl. oz.	$19.95
Vibrational Balance - Dosage 1 fl. oz.	$15.95
Vibrational Balance -Stock Concentrate 1/2 fl. oz.	$19.95
Moving up to 5th - Dosage 1 fl. oz.	$15.95
Moving up to 5th - Stock Concentrate 1/2 fl. oz.	$19.95
Let the Universe Handle the Details 1 fl. oz.	$24.95
Hands on Healers Blend Dosage 1 fl. oz.	$15.95
Angelic Protection Dosage 1 fl. oz.	$15.95
Dakara's Calming Essence - Dosage 1 fl. oz.	$15.95
Source Energy Gem Elixir Dosage 1 fl. oz.	$15.95
Emotional Balance Essence Blend Dosage 1 fl. oz.	$24.95
Raise Your Vibration Dosage 1 fl oz	$15.95
For International Orders a PayPal Invoice will be sent with total shipping & handling fees

 

DaKara Kies Company is committed to the preservation of the Earth and makes a concerted effort to
 use and reuse recyclable materials.  You may receive you order in an unusual package or with a 
combination of packing materials.  We urge you to reuse whatever you can of the packing materials.

To order a Flower Essence Blends go here

For more information or a Personal Consultation go here

To learn more about Dakara's Essence for Pets go here

To learn more about the Planetary Earth Change Essences go here

To learn more about the Chakra Balance Blends go here

To learn more about Dakara's Calming Essence Blend go here