"GreatScents" Inc    ~    http://www.GreatScentsInc.com
Email Orders to: GreatScentsInc@comcast.net

Name:__________________________    Phone Number:__________________  Email Address:______________________
Address: ____________________________________   City, State & Zip _______________________________________
Credit Card Number:____________________________________    Expiration Date:_____________  V-Code:________
The V-Code is the last three number on the back of the credit card

Quantity	Candle Name ~ Scent	Candle Color	Subtotal
	Apple Pie	Red
	Aroma Mint	Light Green
	Babies Room	Pink
	Banana Nut Bread	Beige
	Carrot Cake	Orange
	Christmas Tree	Dark Green
	Cin-A-Nella	White
	Country Cabin	Khaki
	Holly Berry	Bright Red
	Intense Chocolate	Dark Brown
	Lavender Valley	Purple
	Linen Sheets	White
	Marvelous Maple	Dark Brown
	Mulberry	Burgandy
	My Peach Cobbler	Orange
	Night Jasmine	Dark Blue
	Oh Baby	Ash Grey
	Patchouli Past	Deep Brown
	Pep-O-Mint	White
	Pumpkin Spice	Orange
	Sea Breeze	Teal Green
	Snicker Doodle	Dark Brown
	"Spank Me" Leather	Jet Black
	Spiced Tea	Orange
	Sweet Gardenia	Off White
	That's Vanilla	Tan
	Wild Cherry	Dark Red
	Wow! That's Cinnamon	Red
Sub-Total:	Number of Jars___________  Votives___________	Subtotal:
Shipping:	Please Email for Shipping Amount	Shipping:
Order Total	Total cost of all candles ordered with shipping	Order Total:

*** Minimum Order of Three Jars or Votive sets***    Email us for your total with shipping.
Prices are 3 - 22 ounce jar candles for $50.00 then add $16.67 for each additional jar.    Votives are 6 for $9.00