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Order Form Canadian Customers

 USA & International Customers Click Here

Order Information
Toll Free: 1 800 667-1022 or Phone: (250) 766-4562
Fax: Print this form and fax it to: (604) 648-9044
Mail: 13719 Lakepine Rd., Winfield B.C. Canada V4V 1A3

Terms & Conditions
100% Refundable if first kit is returned within 30 days of receipt.

Shipping Information
On first order shipping and handling within the USA & Canada is Free.   Subsequent orders please add $ 8.95 shipping and handling. Please consult us for oversea shipping.

Of course, we welcome any inquiries from retailers.

NOTE: The online ordering program is being upgraded. To order, please call 1-800-667-1022. Thank you.

Order Form

All Prices in Canadian Dollars

 

 

 

 

 

 

 

 

Description

Combo

Famliy Shampoo

Family Conditioner

Penetrating

Treatment Shampoo

Revitalizing

Concentrated Moisturizing

Price

$89.95

$10.95

$10.95

$33.95

$19.95

$34.95

$18.95

Qty.

Shipping & Handling.

$10.95

Subtotal.

BC Residents add 7% PST

Tax

All Canadian Residents add 7%

GST

Total.

Total

Name

Company

Street Address

City

Country

e-mail

Shipping address

Province

Postal Code

Name

Company

Street Address

City

Country

E-mail

Billing address

 Check if same as shipping address

Province

Postal Code

Credit Card

Cardholder Name

Card Number

Expiration

Billing Information

Toll Free 1-800-667-1022

Office (250) 766-4562 or Fax (604) 648-9044

13575 Lake Pine Rd.
Winfield, BC
V4V 1A3

Ordering Notes, Questions or Comments:
If you submit and order via email, ours is not an e-commerce secure site,
so you may prefer to phone in or fax the order after you have copied
it from the web page.


Please contact us at (hair_alive@shaw.ca).
Please always include your complete phone number and address.