Body Chemistri -Perfume blending and custom-scented bodycare for your Body & Soul, since 1983

ORDERED BY:
(cannot ship via UPS to PO boxes)

SHIP TO: (if different)
(cannot ship via UPS to PO boxes)

_______________________________
Name

_______________________________
Address

_______________________________
City, State, Zip

_______________________________
Phone (important)

_______________________________
E-MAIL

_______________________________
Name

_______________________________
Address

_______________________________
City, State, Zip

_______________________________
Phone (important)

_______________________________
E-MAIL

ITEM DESCRIPTION

SIZE

PRICE EACH

QTY

TOTAL PRICE

Shipping Policy: All orders paid by Credit Card or Money Order are shipped within 48 hours. All orders paid by Check will be shipped in two (2) weeks.

METHOD OF PAYMENT
Payment in full enclosed. (Check or Money Order only. Do not mail cash.

Credit Card	Visa	MC
	AMEX	Discover

Account # (12 digits or more)

Exp. Date

Signature (If using credit card)

Insurance, Shipping, & Handling
(Based on Total Merchandise Amount)

minimum shipping $6.25
*add $1 per gallon

add $2 for US mail

$15 minimum on orders

*Shipped by UPS Ground Service
**Alaska, Hawaii, & Foreign Shipments, please call for charges.
If US Mail is preferred, please advise.
We cannot promise 48 hr. turnaround.
Prices subject to change.

Total Merchandise

Gift Packaging $1.00/Gift

Il Residents add
8.75% sales tax

*Shipping/Handling

Total Due

Mail payments & order forms to:
Body Chemistri
3451 N. Southport Ave.
Chicago IL 60657
or call 773.296.4999
or fax: 773.296.4997