DONNA HENES, URBAN SHAMAN
Order form

Name:
Mailing address:



E-mail:
Send gift card from:

Send this form along with check or money order (U.S. funds only), payable to Donna Henes, to:
Mana Donna's Tea Garden, PO Box 380403, Exotic Brooklyn, NY 11238-0403. Or fax it to 718 857-1343 or email your order and pay via Paypal.


Item Price Quantity Subtotal
Blessing oil: green $13.00
Blessing oil: pink $13.00
Blessing oil: red $13.00
Blessing oil: magenta $13.00
Blessing oil: blue $13.00
Blessing oil: purple $13.00
Blessing oil: multi $13.00
Blessing oil: black $13.00
Blessing oil: white $13.00
Blessing oil: silver $13.00
Blessing oil: gold $13.00
Blessing oil: copper $13.00
Blessing oil: clear $13.00
Amulet bag: exceptional* $52.00
Amulet bag: extraordinary* $108.00
SUBTOTAL
Shipping per six oils/bag $5.00
Shipping per additional item $1.00
Overseas shipments pls. add $5.00
NY state residents add 8.25% sales tax
TOTAL
For amulet bag orders, please complete supplemental order from.

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