Order Form - Print, Fill Out, and Mail


Print out this Order Form, fill it out, then mail to the following address along with the check, money order, or credit card number.
If you see something that is on our website but not listed here, feel free to write it in.
Past & Present LLC 
10674 N County Rd 350W
Batesville, IN 47006
812 852-4328


Soap
Price:
Qty:
Price:
Amber
$4.00
 
 
Angel's Touch
$4.00
 
 
Bay Rum
$4.00
 
 
Brown Windsor 
$4.00
 
 
Comfrey & Aloe
$4.00
 
 
Emu Spice
$5.00 
 
 
Enticement
$4.00
 
 
Fall Fantasy
$4.00
 
 
Gardener's Green Thumb
$4.00
 
 
Goat's Milk
$4.00
 
 
Hunter-Fisherman
$4.00
 
 
Jasmine
$4.00
 
 
Juniper Breeze
$4.00
 
 
Key Lime Cove
$4.00
 
 
Lavender
$4.00
 
 
Lilac
$4.00
 
 
Moonlight & Roses
$4.00
 
 
Oatmeal & Honey
$4.00
 
 
Only Oatmeal
$4.00
 
 
Palma Rosa
$4.00
 
 
Pet Shampoo
$4.00
 
 
Pine Tar
$4.00
 
 
Plumeria
$4.00
 
 
Pure
$4.00
 
 
Raspberry
$4.00
 
 
RefreshMint
$4.00
 
 
Rosemary
$4.00
 
 
Sensuous
$4.00
 
 
Shampoo Bar
$4.00
 
 
Shangri-La
$4.00
 
 
Tea Tree
$4.00
 
 
Unscented
$4.00
 
 
Vanilla Cream
$4.00
 
 
Whispers of Love 
$4.00
 
 
Wisteria
$4.00
 
 
Woodlands
$4.00
 
 
 
 
Lotion
Bay Rum
$8.75
   
Frankincense & Myrrh
$8.75
   
Juniper Breeze
$8.75
   
Lavender
$8.75
   
Oatmeal & Honey
$8.75
   
Plumeria
$8.75
   
Raspberry
$8.75
   
Unscented
$8.75
   
Vanilla Cream
$8.75
   
Wisteria
$8.75
   
Masage Oil
Lavender
$6.00
   
Mood Uplifting
$6.00
   
Romance
$6.00
   
Lotion Push Up
Price: Qty: Price:
Fankincense & Myrrh $4.00    
Jasmine $4.00    
Juniper Breeze $4.00    
Lavender $4.00    
Lilac $4.00    
Plumeria $4.00    
Raspberry $4.00    
Unscented $4.00    
Vanilla Cream $4.00    
Wisteria $4.00    
Lip Balm
Creamsicle $2.00    
Lime $2.00    
Orange $2.00    
Spearmint $2.00    
Tangerine $2.00    
Vanilla $2.00    
Unflavored $2.00    
Bath Tea
Aches & Pains $2.00    
Fragrant $2.00    
Perk Up $2.00    
Soothing $2.00    
Tonic $2.00    
Liquid Shampoo
Angel's Touch $6.50    
Bay Rum $6.50    
Jasmine $650    
Juniper $6.50    
Lavender $650    
Oatmeal & Honey $6.50    
Raspberry $6.50    
Rosemary $6.50    
Unscented $6.50    
Vanilla Cream $6.50    
Wisteria $6.50    
Woodlands $6.50    
Powder
Angel's Touch $4.50    
Bay Rum $4.50    
Citrus Sensations $4.50    
Jasmine $4.50    
Juniper Breeze $4.50    
Lavender $4.50    
Lilac $4.50    
Oatmeal & Honey $4.50    
Raspberry $4.50    
Rose Ylang Ylang $4.50    
Sweet Moments $4.50    
Unscented $4.50    
Vanilla Cream $4.50    
Wisteria $4.50    
Woodlands $4.50    
Subtotal:
 
Shipping & Handling:
$5.35
Indiana Residents add 7 percent sales tax:
 
Total:
 

Check enclosed____ Visa____ Mastercard____ _ _ _ U.S. currency only
Charge card number_______________________________ Expiration Date_______  CVC_______
Signed____________________________________
Name____________________________________
Address___________________________________
_________________________________________
Phone number day___________________________
_ _ _ _ _ _ _ _night__________________________

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