MyEmagine						Date:			MyEmagine.com
ORDER FORM						order #:			323.533.2002
Rep:			Ship to:			Bill To:			sales@myEmagine.com
									PO box 8448,
	cash	call me							LA, CA 90008
	credit card
rcvd. by:			Phone:			Fax:
Buyer Name:			Signature:			Email:
Item #	product	oz	scent name: (i.e. ariel , quietli , mali 2)				price	price per dozen.	total units	by the  doz.	total USD
example	body butter	1 oz	ariel 3, mali, quietli 2, enchanting				$        5	$       41	7	--------	35
example	body butter	1 oz	ariel	quietli			$        5	$       41	-----	2	82
100	body butter	1 oz					$         5	$       41
101	body butter	3 oz					$       10	$       78
102	body butter	8 oz					$       15	$     136
103	pumps	2 oz					$         7	$       54
104	pumps	8 oz					$       15	$     118
105	skin oil	2 oz					$         7	$       55
106	skin oil	8 oz					$       15	$     118
107	mister (spray)	2 oz					$         5	$       41
108	mister (spray)	8 oz					$       10	$       82
109	soap	two 3oz bars					$         5
110	soap	brick					$       40	$     320
111	body scrub	salt 16 oz					$       15	$     108
112	body scrub	sugar 16 oz					$       15	$     108
the following products have preset scents thus no scent selection is available.
113	face mask	2 oz					$       10	$       72
114	face mask	4 oz					$       25	$     162
115	face mister	2 oz					$         7	$       60
116	face mister	8 oz					$       15	$     118
117	face scrub	2 oz					$       10	$       72
118	face scrub	4 oz					$       25	$     162
119	face serum	2 oz					$       30	$     200
120	body polish	16 oz					$       12	$       90
									total units		total USD
name on credit card:			billing address:			notes:
credit card number:
expiration date		sec. code
signature payor: