Elevated Energy, Inc.
Crystaltopia: Purchase Form
How many items are being purchased?
Please enter the inventory #s here.
Type of payment
Credit or Debit Card
Total amount paid for this order
including 9.5% sales tax?
You will have to add up the items and add tax manually, sorry.
Does the customer want a receipt?
Is a receipt through email ok?
Please create a manual receipt and give it to the customer then submit this form.
Please submit this form and disregard the next page.
On the next page, please enter the EXACT amount to be charged to the credit or debit card. If the customer wants a receipt, please enter their name and email address on the next page.
Do Not Fill This Out