Candle & Wax Melts Order Form Candle and Wax Melts Order FormΔ Candle and Wax Melt Order Form MOBILE PAYMENT APPS Complete the order form and make your payment using any of our provided mobile apps of your preference. Send an email to sales@allwaxcandlecompany.com stating your order placement and payment submission status through the mobile apps. Free shipping on orders $99.00 or more. Ground shipping 4- 7 days $14.95 so please include your shipping cost. Feel free to explore our Scent Directory for a comprehensive list of available fragrances: [Click Here] Please Note: You will need to download one of these mobile apps on your mobile phone to make your payment online. Please scan the QR Code. Cash App Me https://cash.app/ Venmo Me www.venmo.com / Please find our screen name @businesspurchase Paypal Me https://www.paypal.com Send via Zelle or from your bank. Here are the Zelle details you should know for the transfer: Zelle Name: Copy Zelle Email: Copy www.zelle.com LET'S GET STARTED! Kindly fill out the order form provided below and submit it to initiate the processing of your order.Date First NameLast NameLegal Business or Company NamePhone Number Email AddressDriver's License File UploadChoose File Company WebsiteIf delivery address is the same as billing check box. If delivery and billing is different please complete billing address. Yes, Delivery and Billing Address are the same.Delivery AddressAddress Line 1Ste. #CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweMobile App UsernameThe username or account name listed on the order form must match your payment information submitted through one of the mobile apps listed below to processed the placed order.CashApp $ - account nameVenmo @ - account namePayPal - email address / account nameZelle username / phone number/ account nameTHE UNDERSIGNED AGREES THAT PAYMENT WILL BE MADE IN FULL, FOR ALL MERCHANDISE, AS ORDERS ARE PLACED. FAILURE TO DO SO MAY RESULT IN DELAYED PROCESSING TIMES, OR CANCELLED ORDERS.CANDLE SCENTSPrice List $12.00 for 7 oz. $16.50 for 10 oz. $18.50 for 12 oz.Place the wax melt size, cost, and scent type here, or Note (None)Please select your glass jar containers: 7 oz. Candle 10 oz. Candle 12 oz. Candle 18 oz. - CandleSelect any candle scents - Please note the sizes - 7 oz., 10 oz., , 12 oz., 18 oz. None Radiant Energy Candles (Rose & Vanilla) Balsalm Pine Candles Christmas Pine Tree Candle Lavender & Sage Candles Fresh Autumn Candles Sandalwood Coconut Candles Pumpkin Spice Waffle Candle Lemonade Candles Orangesicle Candles Sea Salt Citrus Candles Black Cedarwood Juniper with Sandalwood Rose Candles Pink Sunday Candles Citrus Bliss Candles (Lemon & Orange) Clean Linen Candles Basil Neroli Candles Clean & Comfy Candles Sea Salt Ocean Breeze Candles Real Experience Candles Blooming Flower Candles Midnight Blue Candles Apple Cinnamon Spice Candles Sunrise Breeze & Apple Spice Infusion Candles Oasis Candles Island Getaway Candles Citrus Mist Candles Orange Orchard Candles Earthy Rejuvenation Candles Pina Coladasicle Candles Island Dream Candles Blueberry Citrus Crumble Candles Lemon Squeeze Candles Minty Eucalyptus Aromatherapy Candles Secret Admirer Candles Raspberry Cocktail Candles Berry Peachy Candles Blueberry Cheesecake Candles Wild Berry Rose Petals Candles Lavender Tranquility Candles Sun Berry Paradise Candles Aquamarine De Blue Candles Honey Cinnabon Candles Autumn Leaves Candles Wintery Spearmint Candles Moonlight Star Candles Spiced Clove Sticks Candles Frosted Berry Tree Candles Holiday Spiked Mug Candles Lavender Vanilla Candles Vanilla Buttercream Crunch Candles Sandalwood Candles Cedarwood Spice Candles Secret Admirer Candles (Floral) Bombshell Candles (Floral) Blueberry Apple Candles Creamy Nutmeg Candles Mahogany Teakwood Candles Island Dream Candles (Sea Salt and Citrus) Raspberry and Apple Crush Candles Pink Sunday Candles (Floral) Basil Neroli Candles (Fresh Scent)WAX MELTSPrice List: 2 - X-Large Wax Melt Designer Chunks - $18.50 6 - Cubed Wax Melts - $12.00 1 - Large Glass Jar Wax Melt - $12.00 3 - Medium Size Wax Melts - $10.00Place the wax melt size, cost, and scent type here, or Note (None) Select all scented wax melts to complete your order. None Radiant Energy Wax Melts (Rose & Vanilla) Lavender & Sage Wax Melts Sandalwood Coconut Wax Melts Lemonade Wax Melts Sea Salt Citrus Wax Melts Black Cedarwood Juniper with Sandalwood Rose Wax Melts Pink Sunday Wax Melts Citrus Bliss Wax Melts ( Lemon & Orange) Clean Linen Wax Melts Basil Neroli Wax Melts Clean & Comfy Wax Melts Sea Salt Ocean Breeze Wax Melts Real Experience Wax Melts Blooming Flower Wax Melts Midnight Blue Wax Melts Apple Cinnamon Spice Wax Melts Ocean Sea Salt Breeze Wax Melts Oasis Wax Melts Island Getaway Wax Melts Citrus Mist Wax Melts Orange Orchard Wax Melts Earthy Rejuvenation Wax Melts Pina Coladasicle Wax Melts Island Dream Wax Melts Blueberry Citrus Crumble Wax Melts Lemon Squeeze Wax Melts Minty Eucalyptus Aromatherapy Wax Melts Secret Admirer Wax Melts Raspberry Cocktail Wax Melts Berry Peachy Wax Melts Blueberry Cheesecake Wax Melts Wild Berry Rose Petals Wax Melts Lavender Tranquility Wax Melts Sun Berry Paradise Wax Melts Aquamarine De Blue Wax Melts Honey Cinnabon Wax Melts Autumn Leaves Wax Melts Wintery Spearmint Wax Melts Moonlight Star Wax Melts Spiced Clove Sticks Wax Melts Frosted Berry Tree Wax Melts Holiday Spiked Mug Wax Melts Vanilla Buttercream Crunch Candles Lavender Vanilla Candles Sandalwood Candles Cedarwood Spice Candles Secret Admirer Candles (Floral) Bombshell Candles (Floral) Blueberry Apple Candles Autumn Candles (Fall) Creamy Nutmeg Candles Mahogany Teakwood Candles Island Dream Candles (Sea Salt and Citrus) Raspberry and Apple Crush Candles Pink Sunday Candles (Floral) Basil Neroli Candles (Fresh) If you wish to order more than one scent make notes in the comment section below. How did you hear about us? Search Engine Company Website Social Media Friend or Family Independent Candle Distributor Representative I have read and agree to the Privacy Policy and Refund/Exchange Policy.Additional Comments I consent to have this website store my submitted information to process my online order.Total Amount Paid: $Signature RequiredBy sigining this form, you are confirming that the order placed is accurate. All Wax Candle Company will ship your order to the shipping address listed. Please contact us within 24 hours of your initial order placement via email, or phone to make changes to recent orders. Thank you. Place Order and Submit!
