CUSTOMER NAME___________________________
DATE: _____________________________
SHIPPING ADDRESS:
NUMBER:________
STREET:________________________________
CITY:__________________________
STATE/PROV:_______________________
COUNTRY:____________________________
ZIP CODE/POSTAL CODE:_________________________
BILLING ADDRESS:
NUMBER:________
STREET:________________________________
CITY:__________________________
STATE/PROV:_______________________
COUNTRY:____________________________
ZIP CODE/POSTAL CODE:_________________________
PRIMARY PHONE NUMBER: ( ) ______-________
WE WILL CONFIRM ORDER
BEST TIME TO CALL:____________________
CREDIT CARD TYPE: circle one AMEX VISA M/C
CARD NUMBER:________ ________ ________ _________
EXPIRATION DATE: ____/______ (month/year)
CVV: ___ ___ ___ (last # numbers on the signature strip)
ORDER FORM:
PRODUCT NAME QTY PRICE EXT. PRICE
________________ _____ $________ $_________
________________ _____ $________ $_________
________________ _____ $________ $_________
________________ _____ $________ $_________
________________ _____ $________ $_________
________________ _____ $________ $_________
ORDER TOTAL $____________
NOTES:________________________________________________
______
______________________________________________________
______________________________________________________
PRICE LIST
B SHAW FACIAL CARE
B SHAW STEP 1 - REG PRICE: $19.99 SALE PRICE: $9.99
B SHAW STEP 2 - REG PRICE: $19.99 SALE PRICE: $9.99
B SHAW STEP 3 - REG PRICE: $29.99 SALE PRICE: $14.99
B SHAW STEP 4 - REG PRICE: $19.99 SALE PRICE: $9.99
TANNING LOTION
BACK IN BLACK - REG PRICE: $99.99 SALE PRICE: $69.99
INDULGE TAN MIST- REG PRICE: $49.99 SALE PRICE: $29.99
JET BLAQUE - REG PRICE: $89.99 SALE PRICE: $59.99
OC GOSSIP - REG PRICE: $104.99 SALE PRICE: $79.99
OCMOISTURIZER - REG PRICE: $49.99 SALE PRICE: $24.99
OC STILL SUMMER - REG PRICE: $94.99 SALE PRICE: $69.99
OC OUT OF CONT - REG PRICE: $89.99 SALE PRICE: $59.99
OC OVER CONF - REG PRICE: $99.99 SALE PRICE: $79.99
PAINT IT BLACK - REG PRICE: $109.99 SALE PRICE: $89.99
TANDORA - REG PRICE: $89.99 SALE PRICE: $59.99
TATTOO POTION
TATTOO POTION 1- REG PRICE: $39.99 SALE PRICE: $24.99
TATTOO POTION 7 - REG PRICE: $39.99 SALE PRICE: $24.99
TATTOO POTION SPECIAL
PURCHASE BOTH FOR ONLY $39.99 - FREE SHIPPING
SUN FIT ENERGY
SUN FIT ENERGY - REG PRICE: $69.99 SALE PRICE: $54.99
SUN FIT SPECIAL
PURCHASE 2 BOTTLES FOR ONLY $99 - FREE SHIPPING
FREE SHIPPING TO CANADA
FREE SHIPPING TO USA
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PRODUCT ORDER FORM