My Aroma House, Inc. PRODUCT ORDER FORM Books & Candles Pages 1-2 Books 1 2 3 4 Item Description Slected Prayers Aganju Babalu Aye Chango (Not Shown) Total Book Order Quantity Price $15.00 $8.75 $8.75 $10.75 Total $ Religious Candles # 1 2 3 4 5 6 7 Item Description Oschun Vemava Obataia Ochosi Chango Eleggua Chango Macho Total Religious Candles Set 1 Quantity Item Description La Madama San Expedito Anima Sola Desenvolmiento San Deshacedor San Carlos San Miguel Total Religious Candles Set 2 Quantity Price $3.85 $5.85 $4.75 $3.85 $3.85 $5.75 $5.85 Total $ Religious Candles # 1 2 3 4 5 6 7 Price $4.75 $4.75 $4.75 $4.75 $4.75 $4.75 $4.75 Total $ Religious Candles # 1 2 3 4 5 6 7 8 9 10 Item Description Vela de Ruda Vela de Patchuly Candle Vela de Miel de Amor Vela de Sandalo Vela de Jala Vela de Doblegado a Mis Pies Vela de Garrapata Vela de Canela Vela de Destrancadera Vela Uama Clients Total Religious Candles Set 3 Religious Candles Continued 1 Quantity Price $7.99 $7.99 $7.99 $7.99 $7.99 $7.99 $7.99 $7.99 $7.99 $7.99 Total $ # 1 2 3 4 5 Item Description Vela de Abre Camino – Open Road Candle Vela Star of David Vela Buena Suertr – Lottery andle Ite Pegaras – Lottery Candle Candle of Santo Cristo de la Salud Total Religious Candles Set 4 Quantity Item Description Veladora de Jose Gregorio Hernandez Veladora de Morocco – Camel Caravan Candle High John The Conqueror Veladora de Fruita - Fruit of Life Candle Veladora the Cross of Caravaca Total Religious Candles Set 5 Quantity Item Description Cinnamon Peach Cobbler Plain Blue Candle Plain White Candle Plain Green Candle Pink Sugar Milk 3 Honey Candle Plain Light Blue Candle Sandalwood Rose Candle Mulberry Wine Cozy Vanilla Candle Cozy Vanilla Sensual Sandalwood Candle Clarifying Eucalyptus Honeydew / Sandalwood Rose Candle Hot Cider Candle My Aroma House Plain Small Candle Milk 3 Honey / Red Velvet Rose Candle Total Household Candles Set 6 Quantity Price $4.75 $4.75 $4.75 $4.75 $4.75 Total $ Religious Candles Continued # 1 2 3 4 5 Price $4.75 $4.75 $ $4.75 $4.75 Total $ Household Candles No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Set 1 2 3 4 5 6 7 Summary Books & Candles Total Books Total Religious Candles Set 1 Total Religious Candles Set 2 Total Religious Candles Set 3 Total Religious Candles Set 4 Total Religious Candles Set 5 Total Household Candles Set 6 Total Books & Candles 2 Price $15.00 $3.99 $3.99 $3.50 $10.00 $10.00 $2.50 $12.00 $5.50 $5.50 $2.50 $12.00 $6.00 $3.99 $10.00 Total $ # Items Total $ My Aroma House, Inc. PRODUCT ORDER FORM Herbs, Incense & Jewelry Page 3-4 # 1 2 3 4 5 Item Description Manzanilla (Chamomile) Romero (Rosemary) – Pulmonaria ( ungwort) Hierba Vuena (Mint Leaves) Una de Gato (Cats Claw) Cola de Caballo (Horse Tail) Total Herbs Quantity Price $5.25 $5.25 $5.25 $5.25 $5.25 Total $ Incense 1 2 3 4 5 6 7 Item Description 22 Money House Blessing - Jasmine 22 Indian Fruit 22 Sandalwood 22 Rainbow 22 Virgen de Guadalupe 22 Natural Elements Assortment 22 African Violet Total Incense Quantity Price $2.50 $2.50 $2.50 $2.50 $2.50 $2.50 $2.50 Total $ Jewelry (Coming Soon) Item Description 1 2 3 4 5 6 7 8 9 10 3 Quantity Price Total 11 12 13 14 15 16 17 18 19 20 21 22 23 $ Total Jewelry Set 1 2 3 Summary Herbs, Incense & Jewelry Total Herbs Total Incense Total Jewelry Total Herbs, Incense & Jewelry 4 # Items Total $ My Aroma House, Inc. PRODUCT ORDER FORM Oils, Perfumes, Powders & Soap – Pages 5-6 Oils # Item Description 1 Zodiac 2 Concentration 3 Rompe Zaraguey 4 Negocio 5 Mucha Gente 6 Trabaio Fijo – Steady Work 7 Calienta Negocios – Warm Business Total Oils Quantity # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Quantity Price $3.75 $3.75 $3.75 $3.75 $3.75 $3.75 $3.75 Total $ Perfume Item Description Aqua Divina Saca Sal Amams Cuajro Ramillet De Nova Heonizo Gitano Pocejo Feliz Seduccion Omicon ai Anim Sola Coco Quada Narcizo Negro 1 Gota de Suerte Lotion Pompeia Vanlla Fields Jovan Mush Total Perfume Price $5.99 $5.99 $5.99 $5.99 $5.99 $8.99 $13.99 $1.99 $5.25 $5.99 $5.99 $5.99 $20.00 $20.00 $12.75 Total $ Powders # 2 3 4 5 Item Description 7 African Powers 7 Potencias Africanas Abre Camino – Open Road 7 Poderes – 7 Power Casa de Corte – Court Case Arra Sa Contodo – Destroy Everything Total Powders Quantity Price $4.00 $4.00 $4.00 $4.00 $4.00 Total $ Soap – Jabon # 1 2 3 4 5 6 7 8 9 10 Item Description Jabon Astra 7x7contra + Alo Llamadera Jala Jala Amansa Guapo Quita Maldicion Corderito Manso Iman Arassa Contodo 33 Esencias Abre Cnmino 5 Quantity Price $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 Total 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Set 1 2 3 4 LLuvia de Plato Magia de Dollar Siete Machos A Trayente Quereme Ruda – Ru A Domino Abundancia Amor - Love Olive Oil Soap Gold-Silver Soap Dinero Rapido Pajaro Macua Canela - Cinnamon Total Soap Summary Oils, Perfume, Powders & Soap Total Oil Total Perfume Total Powder Total Soap Total Oils, Perfume, Powders & Soap 6 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $3.50 $ # Items Total $ My Aroma House, Inc. PRODUCT ORDER FORM Statues – Page 7 Statues No 1 2 3 4 Item Description San Gabriel Virgen de Altagracia – Our Lady of Grace Cardad dei Cobre Ochun San des Hacedor # 5 6 7 # 8 9 10 Quantit y Item Description Price Total $23.99 $78.99 $34.00 $85.00 Quantity San Antonio St. Santiago Santa Marta Price Total $25.00 $70.00 $15.00 Item Description Virgin de Fatima La Santa Ceria St. Jose Total Statues 7 Quantity Price $35.00 $65.00 $33.00 Total $ My Aroma House, Inc. PRODUCT ORDER FORM Order Summary Page 2 4 6 7 Order Summary Total Books & Candles, Page 2 Total Herbs, Incense & Jewelry, Page 4 Total Oil, Perfume, Powder & Soap, Page 6 Total Statues, Page 7 Total Order # Items Total $ Address Information: Full Name: Address: City: , State: , ZIP: Ship-To Information (If different than above) Full Name: Address: City: , State: , ZIP: Credit Card Information Card Type Visa Amex Discover Master Card (Check) Card Number: Expiration Date:___/___ , Secret Number: Month /Year (3 or 4 digits) Credit Card Bill-To Information (if different than Address Information above) Full Name: Address: City: , State: Email, Fax or Mail Order to: Ms. Berily Smith 358A Boylston St. Brookline, MA 02445 Email: [email protected] Phone: 617-879-0404 Fax: 617-xxx-xxxx 8 , ZIP:
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