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ORDER FORM FOR WAX WIZARD CANDLES - PHONE (941) 697-7500
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Quantity: _____     Order Number: _______________   Price: $ ____________ 

Dominant Color: 
(choice one) ____________________       Second choice: __________________

Other Colors:   1 ________________ 2_________________  3_________________  
(choice up to 3)

If ordering a Wedding Candle - have you enclosed the Invitation? ____
If ordering an Anniversary Candle-have you enclosed photo &/or names? ___
If ordering a Pet Candle- have you enclosed photo(s)? ___
And... have you specified which poem or prayer for the backside? ____

Any special instructions: _______________________________________________

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(List instructions for invitation/names/dates/photos/poems/prayers, etc.)

Ship to Name: _________________________   Phone: (___) -_________________      

Ship to Address:  ____________________________ (include apartment number)

City/State: ___________________________________  Zip Code:  _____________  


If "Ship To" name and address is different than yours, please give yours:

Name: _________________________________ Phone: (____) -__________________      

Address:  ____________________________________ (include apartment number)

City/State: ___________________________________  Zip Code:  _____________               


Would you like to be notified of any updates at our website?

If so, please give e-mail address:  ___________________________

* Florida residents must add 7% Sales Tax.
* You Must Add Shipping Costs (See "Shipping Rates & Policies")

* Method of payment-(check one): __ Personal Check __Money Order __Other

* Total Amount Enclosed:  $_____________

Make checks payable to:  WAX WIZARD CANDLES
Mail to:  WAX WIZARD CANDLES, P.O. Box 5116, Englewood, FL 34224

NOTE: Please allow 2-4 weeks for delivery.  
Some custom order including Invitations & Photos may take longer.

~*~ Thank you for your order ~*~