moneyorder

Please print out this
Order Form
and send with your check or money order

Ship To: (Please complete)

Send check or Money Order to:

Name:

Address:

E-mail address:

Phone #:

David's Garden, Ltd.
RR 1 Box 119B
Susquehanna, PA 18847

Phone: 570-756-2001

FAX: 570-756-2020

e-mail: garden@nep.net

www.davidsgarden.com

Specially-blended flower essences are preserved in a solution containing vegetable glycerine and either less-than-1/2-of-1% alcohol or 13-15% alcohol. Specifiy quantity desired under % alcohol you prefer.

Quantity

Flower Essences

Quantity

Flower Essences

1/2%	13-15%		1/2%	13-15%
		*Beat the Blues*			*Kick It*
		*Blue Fire*			*Letting Go*
		*Changing Times*			*On the Upswing*
		*Enough Already*			*Plenty*
		*Focus*			*Song of Myself*
		*Get Off Your Butt*			*Soul Search*
		*Heart Felt*			*Speak Easy*
		*Imagine*			*Take It Easy*
		*In the Moment*			*Temper, Temper*
		*In the Mood*			*True Path*
		*Inner Child*			*Two to Tango*
		*Intuition*

     Subtotal (both pages):______ bottles @ $11.95 each =
    "Flower Power": _______books @ $18.95 each =
    "Flower Essences: An Illustrated Guide": _______books @ $16.95 each =
              In PA add local sales tax for book only:
                                                               Shipping:
                                                                     Total:

__________
__________
__________
__________
_____$3.95
__________

List below the names of the individual essences and how many of either the less-than-1/2% alcohol or 13-15% alcohol you'd like.

Quantities

Products

1/2% alcohol	13-15% alcohol	Names of Individual Flower Essences

Page Totals:

_________ ____________ (Please add to the subtotal section on page 1)