Snail Mail Order Form. You can fill in this form while on line and than print it, or you can print it blank.
We will process your order once it is received. There will be a 10 day business hold on all checks.

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Name: Billing Address : Address 1: City :  State :  Zip or Postal Code: Country :  Daytime Phone: Shipping address if different from above: First Name:  Last Name: Address 1: City :  State :  Zip or Postal Code: Country :

ITEMS :

Qty: Item #: Item Name: color: Price:

Qty: Item #: Item Name: color: Price:

Qty: Item #: Item Name: color: Price:

Qty: Item #: Item Name: color: Price:

Qty: Item #: Item Name: color: Price:

Qty: Item #: Item Name:color: Price:

Merchandise Total: Shipping and Handling: Fl. Residents add 6% sales Tax: Order Total (U.S Funds only):

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Basic Shipping & Handling rates are for each address to which we send merchandise. Please allow 10-14 business days for in-stock items to be delivered.

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SHIPPING & HANDLING RATES

Amount of Purchase	Shipping
Up to $49.99	$7.50
$50.00 to $99.99	$12.50
$100.00 to $199.00	$19.50
$200.00 and over	$24.75

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Mail Order to:
Quintessence Universal ~ Mystical Passage
8013 N.W. 72 Street
Tamarac, Fl 33321

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Check or Money order payable to "Quintessence Universal"

Quintessence Universal Snail Mail Order Form Mystical Passage

Check Item Availability