2008 Order Form
Mail this form to:
Desert Alchemy
P.O.Box 44189
Tucson AZ 85733, USA
Or FAX to: +1 (520) 325-8405
============================[ ORDERED BY ]=============================
Name:__________________________________________________________________
Company:_______________________________________________________________
Address:_______________________________________________________________
_______________________________________________________________________
City:__________________________________________________________________
State:_______________________ ZIP Code:________________________________
Country:_______________________________________________________________
Please provide your e-mail, a day time telephone or fax number in case
we need to contact you about your order:
E-Mail: _______________________________________________________________
Daytime Telephone: (__________)________________________________________
Fax: (__________)______________________________________________________
=============================[ SHIP TO ]===============================
Only if different from "Ordered By". Please print clearly to ensure correct
delivery. Please provide a street address as UPS cannot deliver to PO boxes.
Name:__________________________________________________________________
c/o:___________________________________________________________________
Address:_______________________________________________________________
_______________________________________________________________________
City:__________________________________________________________________
State:_______________________ ZIP Code:________________________________
Country:_______________________________________________________________
===========================[ PAYMENT METHOD ]==========================
[ ] Enclosed check or money order in U.S. funds payable to Desert
Alchemy. There is a $25 service fee for returned checks.
[ ] Credit Card. We accept VISA, Mastercard, Discover and American
Express. Your credit card will be charged on the day your order is shipped.
Card Number:___________________________________________________________
Expiration Date:_______________________________________________________
Name on Card:__________________________________________________________
Signature:_____________________________________________________________
================[ SHIPPING OPTIONS for DOMESTIC ORDERS]================
[ ] UPS Ground. Delivery requires four to five business days.
Please add to the total of your order: $8 (Continental US)
[ ] UPS 3-DAY. Delivery requires three business days.
Please add to the total: $14 or 3% of your order, whichever is greater.
[ ] UPS 2-DAY. Delivery requires two business days.
Please add to the total: $18 or 5% of your order, whichever is greater.
=============[ SHIPPING COST for INTERNATIONAL ORDERS]==============
International orders require three business days for processing and
are shipped via Express Mail or UPS Expedited. International shipping
charges are unique to each Country and depend on the final weight of
your order. Please call for exact shipping charges or place your order
on-line at www.desert-alchemy.com.
Customer is responsible for the payment of all duties, taxes or customs
fees on shipments sent to foreign countries.
============================[ YOUR ORDER ]=============================
Flower Essences (please write essence name)===Qty======Price=====Amount
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
___________________________________________ _______ x $9.50__________
FLOWER ESSENCE KITS (10 ml stock)=============Qty======Price=====Amount
Individual Flower Essences Set (119 essences) ___ x $790.00 _________
Flower Cards Kit (78 essences) __________________ x $535.00 _________
Composite Formulas Kit (47 essences) ______________ x $335.00 _________
Celebration of Womanhood Kit (14 essences) ________ x $110.00 _________
Gift of the Masculine Kit (12 essences) ___________ x $95.00 _________
Angelic Awareness Kit (17 essences) ______________ x $130.00 _________
Plants and Planets Kit (26 essences) ____________ x $195.00 _________
Applied Physiology Kit (30 essences) ______________ x $220.00 _________
DESERT ALCHEMY PUBLICATIONS===================Qty======Price=====Amount
The Alchemy of the Desert, Second Edition__________ x $35.00 _________
The Art and Technique of using Flower Essences_____ x $17.95 _________
Desert Alchemy Flower Cards ______________ x $45.00 _________
SUBTOTAL ______________
8.1% Tax (Arizona only) ______________
SHIPPING ______________
TOTAL ______________
===================== Thank you for your order ========================
Last updated: 01-May-2008