MLS - Order Form

GREEN EARTH FARM
P.O. Box 672, Saguache, CO 81149

Quantity	Description	Price	Total
	1 oz. Calendula Creme, Lanolin Base	$ 6.00
	1 oz. Calendula Creme, Vegetable Base	$ 6.00
	2 oz. Calendula Creme, Lanolin Base	$ 8.50
	2 oz. Calendula Creme, Vegetable Base	$ 8.50
	4 oz. Calendula Creme, Lanolin Base	$14.00
	4 oz. Calendula Creme, Vegetable Base	$14.00
	8 oz. Calendula Creme, Lanolin Base	$22.00
	8 oz. Calendula Creme, Vegetable Base	$22.00
	16 oz. Calendula Creme, Lanolin Base	$35.00
	16 oz. Calendula Creme, Vegetable Base	$35.00
	1/6 oz. Lip Balm	$ 2.50
	1/4 oz. Lip Balm	$ 3.50
	1 oz. Lip Balm	$ 9.00
	1 oz. Hygeia	$ 8.00
	2 oz. Hygeia	$14.00
	4 oz Hygeia	$22.00
	1 oz. Flexagility Balm	$ 7.00
	2 oz. Flexagility Balm	$12.00
	4 oz. Flexagility Balm	$20.00
	1 oz. Isis Eye Creme	$22.00
	1 oz. Firewater Tonic	$ 5.00
	2 oz. Firewater Tonic	$ 8.50
	4 oz. Firewater Tonic	$15.00
	8 oz. Firewater Tonic	$25.00
	16 oz. Firewater Tonic	$44.00
	Herbal Gift Pack	$33.00

Payment Method:	___ Ck. ___CC:Visa/MC/Discover/Novus/Amex
Name:	___________________________	Sub Total	____________
Address:	___________________________	CO Res add 3%Tax	____________
	___________________________	Shipping	____________
Telephone:	___________________________	Total	____________
Card No:	___________________________
Exp. Date:	___________________________

GREEN EARTH FARM
P.O. Box 672 - Saguache, CO 81149

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