EMAIL ORDER FORM

THE INNER LIGHT SHOPPE
Your Internet Store of Holistic Products for the Body, Mind & Spirit


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EMAIL
ORDER FORM

Fill out the order form below and press submit to have your information emailed directly to The Inner Light
Shoppe. If you do not want to calculate the totals yourself then just submit only the items you want and we
will email you the complete costs. You can also:

Call us with your credit card information (248) 852-0126 Monday thru Friday, 9:00 am to 5:00 p.m. EDT
Pay through an invoice sent by Paypal on-line.
Or mail us your credit card information, a check or money order to: The Inner Light Shoppe, P.O. Box
214988, Auburn Hills, MI 48326. Click here for Mail Payment Form.

We only ship to the United States and their Territories plus all Provinces of Canada.

*Note: With every purchase there will be a one-time standard handling fee charge of $2.00 which is added to
your Grand Total whether you buy one or many items.

Please complete the Email Order Form below then click on the submit button.

BILLING INFORMATION:

Your Name:

Address:

City:

State:

Zip Code:

Email Address:

Telephone # (Night):

Telephone # (Day):

Paying How:
(check only
one)

Will Send by Mail:
Credit Card Info

Will Call:
Credit Card
Info

Will Pay to a
Paypal
Invoice:

Will Send
Check or
Money Order

SHIPPING INFORMATION:

Shipping Address Same as Above - Yes/No:

Name:

Address:

City:

State:

Zip Code:

Description of Item

Item
Code

Unit
Price

Qty

Subtotal
of Each Item

Shipping Fees
of Item

This form is for informational
purposes only. Please Add
subtotals of Each Column then
add to appropriate field Then Calculate
Grand Total before submitting!!!!

Sum this
column and
add below

Add Total of
Items:

Add Total of
Shipping Fees:

Add Standard
Handling Fee of
$2.00:

Insurance is
included

GRAND TOTAL
BALANCE;