
B.V.A. BOTANICALS PRODUCTS ORDER FORM
115 Baptist Road, Canterbury, NH 03224
Phone: 603-783-4782 Fax: 603-783-0427
Please Send the Items Listed Below
| Code |
Quantity
|
Item
|
Price
|
Sub Total
|
| BVA-001 |
#
|
Botanical Glycerine Bar
|
$12.00
|
$
|
| BVA-002 |
#
|
Hydra Pure Revitalizing Gel
|
$46.00
|
$
|
| BVA-003 |
#
|
Protective Light Touch Moisturizer
|
$22.00
|
$
|
| BVA-004 |
#
|
Miracle Solution
|
$20.00
|
$
|
| BVA-005 |
#
|
Comfort Oil Pain Relief Blend
|
$28.00
|
$
|
| BVA-006 |
#
|
Oral Care Mouth Cleanser
|
$20.00
|
$
|
| BVA-007 |
#
|
Aloe Herbal Concentrate
|
$46.00
|
$
|
| Sub Total: |
__________ |
| Shipping/ Postage |
__________ |
TOTAL |
__________ |
|
Shipping, handling and insurance: Under $100.00, add $7.50, $101.00 - $200.00, add $10.00, over $200.00, no charge.
Purchases outside of the US require an additional charge. There is a 10% restocking charge on returns. |
Expiration Date:___________ Cardholder Signature:______________________________

