Aromas Unlimited
5071 Staley Road
Fort Myers, Florida 33905
phone: 239-334-7778
Toll Free: 1 888 369-8301

fax: 239-693-5161
email:
orders@aromasunlimited.com
Order Form 
Print this form to mail or fax order. Copy and paste to your email program to email order.


Customer Information

Name:_____________________________________________________________________________

Street Address:_____________________________________________________________________________
(must have STREET address for UPS and Federal Express shipping)

City: ______________________________________ State: ________________Zip:______________________

Phone: ______________________________________ Fax:__________________________________________

email:______________________________________________________________________________________

Items Ordered
add separate sheet for additional items

Size or item no.

Description or Fragrance

Quantity

Price Each

Amount
         
         
         
         
         
         
         
         
         
         
         
SubTotal
 
Shipping Charges
(see chart below) 
 
6% Tax for Florida Residents
 
Total
 

Shipping Method Preferred: _____ UPS ______ US Mail ______

Credit Card Information:
Visa ____ MasterCard ____ 

Name as it appears on card: _____________________________________________________________________

Credit Card Number: __________________________________________________________________________

Expiration Date: ______________________________________________________________________________

All orders must be  prepaid 
At this time we accept cash, cashier's checks, money orders, Visa, and MasterCard 
(and personal/company checks from established customers only).

If your order total is:   Shipping cost is:
$0.01 - $9.99   $4.75
$10.00 - $19.99   $5.75
$20.00 - $29.99   $6.75
$30.00 - $39.99   $7.50
$40.00 - $49.99   $8.50
$50.00 - $59.99   $9.50
$60.00 - $69.99   $10.50
$70.00 - $79.99   $11.50
$80.00 - $89.99   $12.50
$90.00 - $99.99   $13.50
$100.00 - $225.00   $14.50
Over $225.00 10% of order total