Order Form for Natural Medicinal Substances€¦ · Himalayan Crystal Sea Salt (Bath Salt) - 5 lb....

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Order Form for Natural Medicinal SubstancesDate:

Name/Company:Contact:

Ship To Address:Ship To City, ST, ZIP:

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Payment Method (Circle One): Cash, Check, Credit Card, or PayPal

Is Shipping Address Same As Billing Address?: Y / NIf No, Please Enter Bill To Address:

Bill To City, ST, ZIP:

Iceland Spring WaterProduct Description List Price per

CaseQTY Total Price

Case of 24, 0.5 Liter bottle ($0.89 per bottle) 21.36$ Case of 12, 1.0 Liter bottle ($1.69 per bottle) 20.28$ Case of 12, 1.5 Liter bottles ($1.99 per bottle) 23.88$

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Sea SaltProduct Description List Price QTY Total Price

Dr. Young pHlavor Liquid Sea Salt (8 oz. spray bottle) 31.99$ Dr. Young pHour Carbonate Salts (454g powder) 41.99$ Celtic Sea Salt (Fine Ground) - 1/2 lb. Resealable Bag 6.99$ Celtic Sea Salt (Fine Ground) - 1 lb. Resealable Bag 12.99$ Celtic Sea Salt (Fine Ground) - 8 oz. Shaker 9.99$ Celtic Sea Salt (Flower of the Ocean) - 1/2 lb. Resealable Bag 15.99$ Celtic Sea Salt (Flower of the Ocean) - 1 lb. Resealable Bag 29.99$ Celtic Sea Salt (Flower of the Ocean) - 8 oz. Shaker 17.99$ Celtic Sea Salt (Light Grey Celtic) - 1/2 lb. Resealable Bag 2.99$ Celtic Sea Salt (Light Grey Celtic) - 1 lb. Resealable Bag 5.49$ Celtic Sea Salt (Light Grey Celtic) - 8 oz. Shaker 5.99$ Celtic Sea Salt (Makai Pure) - 3.1 oz. Grinder 9.99$ Celtic Sea Salt (Makai Pure) - 1/2 lb. Resealable Bag 16.99$ Celtic Sea Salt (Makai Pure) - 1 lb. Resealable Bag 26.99$ Celtic Sea Salt (Makai Pure) - 5 lb. Resealable Bag 104.99$ Celtic Sea Salt (Makai Pure) - 11 lb. Resealable Bag 219.99$ Celtic Sea Salt (Bath Salt) - 1 lb. Bag 5.49$ Celtic Sea Salt (Bath Salt) - 5 lb. Bag 18.99$ Solay Himalayan Crystal Sea Salt (Coarse) - 8 oz. 8.49$ Solay Himalayan Crystal Sea Salt (Coarse) - 20 oz. 13.49$ Solay Himalayan Crystal Sea Salt (Coarse) - 5 lbs. 38.99$ Solay Himalayan Crystal Sea Salt (Fine) - 8 oz. Cotton Bag 8.49$

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Solay Himalayan Crystal Sea Salt (Fine) - 20 oz. Cotton Bag 13.49$ Solay Himalayan Crystal Sea Salt (Fine) - 5 lb. Cotton Bag 38.99$ Salt Mill (7" Tall Round) with Ceramic Grinder containing 8 oz. of Himalayan COARSE Sea Salt 16.49$ Solay Himalayan Salt Stones Starter Jar (2-month supply) 16.49$ Himalayan Crystal Sea Salt COOKING TILE - (4" x 6" x 1") - Pack of 2 23.99$ Himalayan Crystal Sea Salt COOKING TILE - (4" x 6" x 2") - Pack of 2 28.99$ Himalayan Crystal Sea Salt COOKING/SAUNA/BED TILE - (4" x 6" x 8") - Pack of 2 33.99$ Himalayan Crystal Sea Salt ROUND COOKING PLATE - (8" Diameter) 38.99$ Himalayan Crystal Sea Salt (Bath Salt) - 1 lb. Cotton Bag 8.49$ Himalayan Crystal Sea Salt (Bath Salt) - 5 lb. Cotton Bag 34.49$ Himalayan Crystal Sea Salt (Bath Salt) - 10 lb. Cotton Bag 59.49$ Himalayan Crystal Sea Salt Lamp - 7" (Small, 5-7 lbs.) 33.99$ Himalayan Crystal WHITE Sea Salt Lamp - 7" (Small, 5-7 lbs.) 38.99$ Himalayan Crystal Sea Salt Lamp - 10" (Medium, 9-13 lbs.) 48.99$ Himalayan Crystal Sea Salt Lamp - 12" (Large, 16-20 lbs.) 68.99$ Himalayan Crystal Sea Salt Lamp - 17" (X-Large, 28-38 lbs.) 138.99$ Himalayan Crystal Sea Salt Lamp for Computer - 4" (USB powered) 23.99$ Himalayan Crystal Sea Salt PLANET Lamp - 6" Globe 58.99$ Himalayan Crystal Sea Salt PYRAMID Lamp - 5" x 5" Base 58.99$ Rare Persian White Salt Lamp - up to 6", 2-4 lbs. 68.99$ Rare Persian White Salt Lamp - up to 8", 4-6 lbs. 87.99$ Rare Persian White & Purple/Lavender Salt Lamp - up to 6", 2-4 lbs. 68.99$

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Rare Persian White & Purple/Lavender Salt Lamp - up to 8", 4-6 lbs. 87.99$ Salt Lamp Light Bulb Replacement (15 watts, 110V) - Pack of 6 5.79$ Salt Lamp Electrical Dimmer Light Cord 14.49$ Solay Himalayan Salt Inhaler Pipe with Himalyan Salt and Free Himalayan Salt Refill 38.99$ Solay Ceramic Neti Pot with 1/2 lb. of Himalayan Salt 18.99$ Solay Salt Therapy Combo Kit (Inhaler Pipe and Neti/Nasal Pot) 49.49$ Solay Large Eye and Ear Salt Pillows (8" x 5") 19.49$ Solay Large Back and Stomach Salt Pillows (16" x 8") 35.49$ Solay Body Relief Pillows (18" x 5") 28.49$ Solay Natural Pain Relief Pillow Gift Set (1 x Eye/Ear Pillow, 1 x Back/Stomach Pillow, 1 x Body Relief Pillow) 74.49$ Solay Himalayan Salt Foot Bed (includes 10 lbs. of coarse Himalayan salt and silk drawstring bag) 197.49$ Himalayan Salt Lick - 1.65 lbs. (Mini) 24.99$ Himalayan Salt Lick - 2.2 lbs. (Small) 29.99$ Himalayan Salt Lick - 6.6 lbs. (Medium) 49.99$ Himalayan Salt Lick - 11 lbs. (Large) 64.99$ Flor Blanca Sea Salt (for food, cooking, and bathing) – 8 oz. $7.95Flor Blanca Sea Salt (for food, cooking, and bathing) – 16 oz. $11.95Flor Blanca Sea Salt (for food, cooking, and bathing) – 32 oz. $19.95Flor Blanca Sea Salt (for food, cooking, and bathing) – 64 oz. (4 lb.) Container $39.95Flor Blanca Sea Salt (for food, cooking, and bathing) – 128 oz. (8 lb.) Container $79.95Mayan Sun Sea Salt (for food, cooking, and bathing) – 8 oz. $6.95Mayan Sun Sea Salt (for food, cooking, and bathing) – 16 oz. $9.95Mayan Sun Sea Salt (for food, cooking, and bathing) – 32 oz. $16.95Mayan Sun Sea Salt (for food, cooking, and bathing) – 64 oz. (4 lb.) Container $34.95Mayan Sun Sea Salt (for food, cooking, and bathing) – 128 oz. (8 lb.) Container $74.95

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Dead Sea Salt (Bath Salt) – 8 oz. Container $6.95Dead Sea Salt (Bath Salt) – 16 oz. Container $9.95Dead Sea Salt (Bath Salt) – 32 oz. Container $14.95Dead Sea Salt (Bath Salt) – 64 oz. (4 lb.) Container $27.95Dead Sea Salt (Bath Salt) – 128 oz. (8 lb.) Container $49.95

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ZeoliteProduct Description List Price QTY Total Price

Zeolite Pure - 440 grams of Maximum Micronized Zeolite 58.99$ Zeolite-AV - 90 Capsules totaling 81 grams of Zeolite and 1.8 grams of Humic Acid 38.99$ Destroxin - 90 Capsules totaling 72 g of Zeolite, 4.5 mg of B-12, and 6.48 mg of Calcium 23.99$ Esidifan - 90 Capsules totaling 72 g of Zeolite, 4.5 mg of B-12, and 7.2 mg of Calcium 23.99$ ZETOX - 6 g of Maximum Micronized Zeolite, 54 mg of B-12, and 12,000 iu of D3 20.99$

Dead Sea Mud/ClayProduct Description List Price QTY Total Price

Dead Sea "Raw" Therapeutic Mud - 8 oz. Container $9.95Dead Sea "Raw" Therapeutic Mud - 16 oz. (1 lb.) Container $16.95Dead Sea "Raw" Therapeutic Mud - 32 lb. (2 lb.) Container $29.95Dead Sea "Raw" Therapeutic Mud - 64 oz. (4 lb.) Container $49.95Dead Sea "Raw" Therapeutic Mud - 128 oz. (8 lb.) Container $79.95

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**Please fax Order Form back to Creation of the Sea at (908) 269-5591 or e-mail Order Form to [email protected] for processing.** **7% NJ sales tax rate (for Bath Salt and Dead Sea Mud ONLY) and shipping & handling (if applicable) to be added at time of processing.**

Order Form for Natural Medicinal Substances€¦ · Himalayan Crystal Sea Salt (Bath Salt) - 5 lb....

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Transcript of Order Form for Natural Medicinal Substances€¦ · Himalayan Crystal Sea Salt (Bath Salt) - 5 lb....