Shamvara
aum ! Reminders of the Sacred
Mail Order Form

Shipping Infomation:

Name:

Address (line 1):

Address (line 2):

City, State, ZIP:
USA (only)
Phone:

e-Mail:

Memo (optional):

Select Items:

Cushioned Tote Bags
Unit Price:
Shipping:
 		 20.00
  4.00
$24.00
 Item:
#B1
#B2
#B3
#B4
#B5
Dream Pillows
Unit Price:
Shipping:
 		 12.00
  4.00
$16.00
 Item:
#D1
#D2
#D3
#D4
#D5
#D6
#D7
#D8
Eye Pillows
Unit Price*:
Shipping:
 		 9.00
  4.00
$13.00
*take $1.00 off for unscented
Item:
#E1
#E2
#E3
#E4
#E5
#E6
Neck Pillows
Unit Price:
Shipping:
 		 > >
  4.00
 Item:
#N1 - $12
#N2 - $16
#N3 - $12
#N4 - $14
#N5 - $14
#N6 - $15
Throw Pillows
Unit Price:
Shipping:
 		 > >
  5.00
 
 Item:
#T1 - $10
#T2 - $24
#T3 - $32
#T4 - $22
#T5 - $15
Zafus
Unit Price:
Shipping:
 		 > >
 10.00
 Item:
#Z1 - $65
#Z2 - $65
#Z3 - $65
#Z4 - $65
#Z5 - $60
#Z5 - $60
TOTAL:

Print the following page and mail check or money order to:
Shamvara
833 Roberson Mill Rd.
Floyd, VA 24091

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aum !

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