EMAIL
ORDER FORM
Fill out the order form below and press submit to have your information emailed directly to The Inner Light Shoppe. If you do
BILLING INFORMATION:
Your Name:
Address:
City:
State:
Email Address:
Zip Code:
Telephone # (Day):
Telephone # (Night):
Will Pay  to a
Paypal Invoice:
Will Send By Mail Check
or Money Order
Will Call:
Credit Card Info
Paying How:
(check only one)
Will Send by Mail:
Credit Card Info
SHIPPING INFORMATION:
Shipping Address Same as Above - Yes/No:
Name:
Address:
State:
City:
Zip 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. We will email you an Invoice
with the Grand Total with Shipping and Handling Fees
       
         
 
THE INNER LIGHT
SHOPPE
Unique Products to Improve Your Life - Body, Mind & Spirit