The Best in Hair Care
Home
Company
Order Form

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.

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

Order Form

All Prices in US Dollars
 

Description

Combo

Famliy Shampoo

Famliy Conditioner

Penetrating

Treatment Shampoo

Revitalizing

Moisturizing

 Price

$89.95

$10.95

$10.95

$33.95

$19.95

$34.95

$18.95

 Qty.

Subtotal.

 Total

Shipping & Handling.

$10.95

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

Questions or Comments?
Please contact us at (hair_alive@shaw.ca)
If you require further information on our products,
please include your complete phone # and address.