OrderForm

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=215 BGCOLOR="#CC3366" TEXT="#080000" bgproperties="fixed" background="../04306732dkcfyw.png"> <bR> </td> <td valign="top" colspan=2 height=95 BGCOLOR="#CC99CC" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#993366" FACE="Times New Roman" ><B>Sagescript Institute, Cindy Jones, Ph.D. </B></FONT><B>  </B><B> </B><B>|   </B><A HREF="../index.htm" TARGET="_top" TITLE="Sagescript Institute, Cindy Jones, Ph.D."><U><B>home</B></U></A></div> <div> <A HREF="../aboutus.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="../bookstore.htm" TARGET="_top" TITLE="BookStore"><U>BookStore</U></A>   |   <A HREF="../education.htm" TARGET="_top" TITLE="Education"><U>Education</U></A>   |   <A HREF="microbiologyservices.htm" TARGET="_top" TITLE="Microbiologic Services"><U>Microbiologic Services</U></A>   |   <A HREF="../library.htm" TARGET="_top" TITLE="Articles and Library"><U>Articles and Library</U></A>   |   <A HREF="../products.htm" TARGET="_top" TITLE="Sagescript Products"><U>Sagescript  Products</U></A>   |   <A HREF="tea_chocolate.htm" TARGET="_top" TITLE="Fine Teas"><U>Fine Teas</U></A>   |   <A HREF="../links.htm" TARGET="_top" TITLE="Links"><U>Links</U></A>   |   <A HREF="../distillates.htm" TARGET="_top" TITLE="Distillates"><U>Distillates</U></A>   |   <A HREF="../books.htm" TARGET="_top" TITLE="Books by Cindy Jones"><U>Books by Cindy Jones</U></A>   |   <A HREF="herbs_extracts.htm" TARGET="_top" TITLE="Herbs and Extracts"><U>Herbs and Extracts</U></A>   |   <B>OrderForm</B>   |   <A HREF="id74.htm" TARGET="_top" TITLE="About Distillates/Hydrosols"><U>About Distillates/Hydrosols</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=385 colspan=2 BGCOLOR="#CC99CC" TEXT="#080000"> <div> <I>Order Form</I></div> <div> <I>Sagescript Institute, LLC</I></div> <div> <I>Print this form out.</I></div> <bR> <div> <I>Name:</I></div> <div> <I>Address:</I></div> <div> <I>City/State:</I></div> <div> <I>Phone:</I></div> <bR> <div> <I>Insert number of items on line in front of item.</I></div> <div> <I>Skin Care:</I></div> <div> <I> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="480" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 38 WIDTH="234"><div> Item</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> Price per item</div> </tD> <tD VALIGN=TOP><NOBR><div> # of items</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> Total</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Soap</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Rose Geranium Shea Soap</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $4.10</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Lavender Shea Soap</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.10</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Calendula/Oatmeal Shea Soap</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $4.10</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> 4 Random Bars of Soap</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $15.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="234" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=4 HEIGHT= 19 WIDTH="456"><div> Aromatherapy Room Sprays</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Stress Buster</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $7.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> St. Blaise</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $7.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Aristotle</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $7.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Other</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Foot and Body Powder</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $7.25</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Lip Balm Pot (0.5 oz)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $3.75</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Lip Balm Tube (0.15)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $2.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Cocoa Lip Balm</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $2.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Knuckle Balm</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $6.90</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Botanical Body Scrub</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $8.45</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Mountain Mist Hand Lotion</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $8.45</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Foot/Body Butter (4 oz)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $8.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Foot/Body Butter (2 oz)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $5.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Foot Bath (4 large tea bags)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $3.95</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><div> Body Oil (4 oz)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $5.25</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="234"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="234" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></I></div> <bR> <div> <I>Curables:</I></div> <div> <I> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="481" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 38 WIDTH="235"><div> Thyma-Flu (for colds/flu) - add alcohol</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.25</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="38" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="38" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="235"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="235" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></I></div> <bR> <div> <I>Organic Teas:</I></div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="487" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Black (Assam) 2 oz</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Green (gunpowder) 2 oz</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Earl Grey 2 oz</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Lavender Grey</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Black Rose (rose geranium)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $4.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Grey Sage (w/ sage)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.50</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Lemon Green</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.25</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="241"><div> Autumn Calm (herbal)</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $4.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <div> <I>Dagoba Organic Dark Chocolate:</I></div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="494" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 38 WIDTH="248"><div> Chocolate w/ lavender and blueberries</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $3.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="38" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="38" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Chocolate w/ mint and rosemary</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $3.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <div> Totals:</div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="528" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="279"><div> Add Totals</div> </tD> <tD VALIGN=TOP WIDTH="230"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="230" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> If in Colorado, add Sales Tax of 2.9%</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="230"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="230" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Shipping Costs (see chart below)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="230"><IMG BORDER="0" SRC="../1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="230" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <div>  Shipping Rates                          </div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="213" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="123"><div> up to $50.00</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $8.10</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="123"><div> $50 - $99.99</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $15.00</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="123"><div> $100 - $199</div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $18.00</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> $200 and over</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $22.00</div> </tD> </tR> </TABLE></div> <div>                                        </div> <div> Also available: Herbal Distillates, Books, Herbs and Herb Extracts</div> <bR> <div> Please Mail this form along with your check paybel to Sagescript Institute, LLC. to:</div> <bR> <div> Sagescript Institute, LLC</div> <div> 965 Everett St.</div> <div> Lakewood CO 80215</div> <bR> <div> Your order will be processed once received.</div> <div> Thank you very much.</div> <bR> </td> </tr></table></body>