CORNERSTONE SUPPORTED LIVING, LLC ORDER FORM Make checks or money orders payable to: Cornerstone Supported Living, LLC 519 S. Otterbein Ave. Suite 7 Westerville, OH 43081 (Online and Credit Card orders soon to be available!) ITEM 1 ITEM 2 ITEM 3 ITEM 4 ITEM #1-COMPLETE SET $20.00 ITEM #2-SCENTED BAR SOAP-$5.50 ITEM#3-SCENTED BATH SALTS-$5.50 ITEM#4-SCENTED SOY CANDLE-$5.50 ITEM#5-SCENTED BODY LOTION-$5.50 ITEM#6-POWDERED LAUNDRY SOAP 3LB BAG -$5.50 ITEM 5 ITEM 6 Items 1, 2, 3, 4, and 5 scents currently available: Vanilla Sugar, Cucumber Melon, Cherry Blossom Peach, and Orange Ginger. Item 6 scents currently available: Spring, Fresh, and Tropical Sizzle Item # Scent Quantity Price per Subtotal Tax:7.5% Total Deliver to: CORNERSTONE SUPPORTED LIVING, LLC ORDER FORM
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