Sample Order Form

(for FAX/Email)

 

This is a retail order form.   Please telephone, fax or email for total with shipping.

                                 We do not take credit cards, only checks.  

COASTAL SOAPWORKS				              coastalsoapworks@yahoo.com        
BAMBOO CHARCOAL SOAP	                                                     coastalsoapworks.com	            		
PO BOX 852						              DATE:       /         /  		                      
ARCATA, CA 95518					              Purchase Order #                  	
Tel: (707) 826-1001	                                                                  Invoice #			        
Fax:  (707) 822-2739 

NAME:                                                        ADDRESS:                                             PHONE:   
                  
BATH Soaps are between 4 and 5 oz.
                          GOAT’S MILK	                                        GLYCERIN
                   Lavender     Ylang Ylang                   Lavender    Bergamot   Rosemary    Cedar	
Arabesque     ________________________      _____________________________________	   
Buddha         _________________________     _____________________________________
Catnap          _________________________     _____________________________________
Celtic Dragon  ________________________     _____________________________________
Celtic Lace___________________________     _____________________________________
Celtic Oval___________________________      _____________________________________
Cowboy Boots_______________________        _____________________________________
Dragonfly____________________________       _____________________________________
Geisha______________________________       _____________________________________
Hummingbird_________________________       _____________________________________
Morning Glory________________________        _____________________________________
Kanji Rocks  _________________________        _____________________________________
Shamrock____________________________        ____________________________________
Shell     _____________________________	   ____________________________________
                                                               Bath sized Goat’s Milk Soap@ 8.00 = $
				                  Bath sized Glycerin Soap @ 7.00 $				                    
GUEST Soaps are between 3 and 4 oz. 
	                 GOAT’S MILK	                       GLYCERIN  
                   Lavender     Ylang Ylang                Lavender    Bergamot    Rosemary     Cedar
Carp______________________________	    _____________________________________
Celtic Knot_________________________	    _____________________________________
Conch    __________________________                _____________________________________
Cranes____________________________	    _____________________________________
Dolphins__________________________	    _____________________________________
Feng Shui_________________________	    _____________________________________
Oliva  ____________________________	    _____________________________________
Scallop___________________________	    _____________________________________
			                             Guest sized Goat’s Milk Soap@ 6.00 = $
				                    Guest sized Glycerin Soap @ 5.00 = $                                                                                                   
                                    USPS Priority mail + delivery confirmation to zone     =  $
                                                                                                                 TOTAL  =  $
											 			                        mailto:coastalsoapworks@yahoo.comshapeimage_3_link_0