Order Form for Check, Money Order and Credit Card Payment

You can print this form after you fill it out by selecting File/Print from your browser.

Mail this form along with your check or money order payment to:

Candles By Bebe
5126 Center Road
Brunswick Hills, Ohio 44212
Toll Free # 1-877 CANDLEX

Ship to:
Name:
Address:
City:
State: Zip Code:

Payment Info:
Credit Card Type:
Credit Card Number:
Expiration Date Month: Year:
Name of Cardholder:
Phone Number: (note: necessary for processing credit card)
Email Address: (note: necessary for Email Confirmations)
Order Info:
Item Quantity
Description
Scent
Price Each
Total Price:

Sub Total

Shipping 15%

*Sales Tax, x.065

Signature_______________________________Date________

Total

*States needing to add sales tax are as follows:
Ohio Residents Only

Questions? Contact us!