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Order
Form - Flower Essences |
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DaKara Kies Company
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| Ship to: |
| Name:_________________________________________________________________ |
| Address :_______________________________________________________________ |
| City:____________________________________ST________ ZIP_________________ |
| E-Mail Address__________________________________________________________ |
| Phone#(_______)________________________________________________________ |
| VISA/MASTERCARD #___________________________________________________ |
| Exp _____-_____ CVV # ________ |
| Signature______________________________________________________ |
Address:___________________________________________________ City:___________________________ ST __________ ZIP______________ |
(E-mail & FAX requests must include phone number)
______________________________ _______________________________
______________________________ _______________________________
| Item Description | Qty |
Price |
Pay Pal Buy Now* | Total |
| 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 | $_____________ | |
| For International Orders a PayPal Invoice will be sent with total shipping & handling fees | ||||
Subtotal |
$_____________ | |||
| Handling Fee |
$_____________ | |||
Washington State
Tax 8.9% (Orders shipped within Wash St. Only) |
$_____________ | |||
Order TOTAL |
$_____________ |
| Shipping Included in Pricing $2.25 handling fee added (continental US only)
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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.
Thank you for your order!
Please email/mail or fax this completed form to the address above or
call with your Visa/Mastercard number.
Email to: Dakara@Dakara.com
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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
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(425) 267-9738 or 1-800-813-3877
Copyright © 1996 - 2008 by DaKara Kies Company All Rights Reserved
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Page designed & maintained by
WebDeva DaKara
800-813-3877
Home
|| Calming
Essence ||Personal
Consultation || Charka
Balance Blends
Hands
on Healer Blend || Angelic
Protection || Allow
the Universe to Handle the Details
Planetary Earth
Change Essences || Pet
Products || Order