Order Form

This form can be Phoned in, E-mailed, FAXed or Snail mailed to (using the PDF format):

Enchanted Willow Alchemy Shoppe
418 SW 6th
Topeka KS 66603-3110
Voice/FAX: 785-235-3776
E-mail

Shipping Address: Billing Address:

(Name, Address, City, State, ZIP+4)

Phone:

E-mail:

(If different from Shipping)

Quant.
Item Code
Description
Unit Cost

Total

CAT Catalog
2.00

Sub-total:

*Shipping Rates:
under $20. . . .$4.00
$20-$50. . . . .$5.50
$50-$100 . . . .$8.00
over $100. . . .$10.00

Shipping:

**KS residents, calculate your local tax rate (%):

%

Total:

**Please note: due to a tax law change, beginning July 1, 2003 we must collect tax based on where you live in Kansas. This is the precursor to collecting sales tax in this manner on a national basis.
*Shipping rates valid for US Domestic delivery. Foreign and/or overseas delivery will be charged for actual delivery costs.

Payment Method:

____ Check ____ Money Order ____ VISA ____ MasterCard

(Do NOT send cash through the mail) 0405

Credit Card Information:
Number:

Expiration:

Signature:

Credit Card Information:
Number:
Expiration:
Signature:

WARNING:

Remember, some of the herbs we provide are extremely dangerous and used for purposes such as pesticides, incense and dyes. Many are NOT approved for human consumption. Please use them carefully and only after properly consulting a competent herbalist or printed source.
The Enchanted Willow Alchemy Shoppe accepts no responsibility for the use or misuse of the products listed here. Placing an order with us constitutes an agreement to these terms.

Special Requests or Comments:

Please make checks payable to:
Enchanted Willow Alchemy Shoppe.
Yes, we do take and

To E-mail this form, highlight it and copy to your desktop then paste it into the e-mail text.
Once we receive your order, we will send a confirmation via e-mail of the items ordered, estimated shipping time, and order total.

If you are interested in a catalog, click here.

Click on the rooms to browse other items.
Go back to the home page. Triangle Pentacle by Bright Wolf Graphics

If you have any questions or comments, or if there is any other way we can help you, e-mail, fax, phone or send an old fashioned letter to:
The Enchanted Willow Alchemy Shoppe
418 SW 6th
Topeka KS 66603-3110
785-235-3776 (voice or FAX)
or E-mail us: willow@enchantedwillow.com

Quant.	Item Code	Description	Unit Cost	Total






	CAT	Catalog	2.00
Sub-total:
*Shipping Rates: under $20. . . .$4.00 $20-$50. . . . .$5.50 $50-$100 . . . .$8.00 over $100. . . .$10.00		Shipping:
		**KS residents, calculate your local tax rate (%):	%
		Total:

Order Form

Enchanted Willow Alchemy Shoppe 418 SW 6th Topeka KS 66603-3110 Voice/FAX: 785-235-3776 E-mail

WARNING:

Enchanted Willow Alchemy Shoppe
418 SW 6th
Topeka KS 66603-3110
Voice/FAX: 785-235-3776
E-mail