Tibetan Incense Company Order Form

53 South 200 East . Kanab, Utah . 84741

(435) 644-2799

Our E-mail address: sales@tibetanincense.com

 Print this form out then send it to the above address with your payment.

Ordered By:			Shipped To:
Address:			Address:
City:			City:
State:		Zip:	State:	Zip:
Phone:			Email Address:
Payment Method:	Check/Money Order

Please Check Your Order For Accuracy Before Sending to Tibetan Incense Company.

Item #	Qty.	Description	Total
		SubTotal
		Shipping & Handling (see chart below)
		TOTAL in US Funds

Shipping & Handling Chart

Up to $10.00	$ 5.00
$10.00 to $25.00	$ 6.00
$25.00 to $45.00	$ 8.00
$45.00 to $70.00	$ 9.00
$70.00 to $90.00	$10.00
$100.00 to $150.00	$20.00
$150.00 to $200.00	$30.00
Over $300.00	Please Call 1-435-644-2799 or inquire by E-mail.
Canada & Overseas:	Please Call 1-435-644-2799