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Order Form for USA & International Customers

Canadian 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.

Order Form

All Prices in US Dollars

 

 

 

 

 

 

 

 

Description

Combo

Famliy Shampoo

Famliy Conditioner

Penetrating

Treatment Shampoo

Revitalizing

Concentrated Moisturizing

 Price

$69.95

$9.95

$9.95

$27.95

$16.95

$27.95

$16.95

 Qty.

Subtotal.

 Total

Shipping & Handling.

$8.95

Total.

Name

Company

Street Address

City

Country

e-mail

Shipping address

State

Zip

Name

Company

Street Address

City

Country

E-mail

Billing address

 Check if same as shipping address

State

Zip

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 (margonet@cablelan.net).
Please always include your complete phone number and address.