DOMESTIC EMAIL
ORDER FORM
To use your Credit/Debit card (Visa, Master Card, American Express, Discover Card) to order your Loretta Marie's
Mystic Treasures' products directly just fill out the email order form below and click submit. We will receive your order
within minutes.

Within 24 hrs you will be contacted by a Loretta Marie's Mystic Treasures' Representative for your credit/debit card
information and to give you the grand total of your purchases. If you have any questions please call (248) 852-0126.
Monday thru Friday, 9:00 am to 5:00 p.m. EST or email us at info@innerlightshoppe.com.

Each email order received will be shipped United States Postal Service Priority Mail. Note: With every purchase there
will be a one-time standard handling fee charge of $2.50 which is added to your Shipping Fee whether you buy one or
many items.

Please complete the Email Order Form below then click on the submit button.
BILLING INFORMATION:
Your Name:
Address:
City:
Country:
Email Address:
Postal Code:
Telephone # (Day):
Telephone # (Night):
SHIPPING INFORMATION:
Shipping Address Same as Above - Yes/No:
Name:
Address:
Country:
City:
Postal Code:

Description of Item
Item
Code
Unit
Price

Qty
Subtotal
of Each Item
This form is for informational purposes only. You are
not paying for anything with this form.
       
         
THE INNER LIGHT SHOPPE
LORETTA MARIE'S
MYSTIC TREASURES