The Beekeeper's Secret - Order Form

The Beekeeper's Secret® Order Form

Print out this page and fill in the order form below. Enclose check or money order, or fill in credit card information, and mail to:

The Beekeeper's Secret®
P.O. Box 806
Medina, WA 98039-0806

Shipping Information:
Name:
Address:
City/State/Zip:
(Area Code) Phone:

Billing Information:
Payment Type (Circle one):	Check Money Order Visa Mastercard
Name on Credit Card:
Credit Card Number:
Expiration Date (mm/yyyy):

Qty	Item Description	Unit Price	Total
	Beekeeper's Secret Cakes	$12.00
	Beekeeper's Secret Lip Balm, Tube	$3.50
	Beekeeper's Secret Cuticle Cream, Tube	$3.75
	Beekeeper's Travel Bar	$17.50
	Beekeeper's Secret Night Moisturizer Cream	$30.00
	Beekeeper's Secret Skin Care Gift Pack (Includes Cake, Dish and Lip Balm)	$30.00
	Beekeeper's Dish Please Specify Color:	$12.00
	Beekeeper's Wood Culinary Cream	$8.00
	Beekeeper's Fine Furniture Polish	$11.95
	Beekeeper's Secret Wood Care Gift Pack (Culinary Cream, Furniture Polish and 2 Polishing Cloths)	$24.00
Order Subtotal :
+ Sales tax for WA residents (9.0%) :
+ Shipping (18% of Subtotal, $1.50 Minimum) :
Total Enclosed: