C:\Fakepath\Online Order Form 1

  • Published on
    12-Jun-2015

  • View
    215

  • Download
    2

Embed Size (px)

Transcript

  • 1. SkinKissed Naturals, LLC thanks you for your order!Please fill out this form and send it along with a check or money order to: SkinKissed Naturals- 2052 Cook Drive- Somerset, WI 54025Items will be shipped within two business days of receipt. Please print clearly and include e-mail and phone number in case we have questions about your order.Name:___________________________________________________Address:__________________________________________________ City:______________________________________________________State:___________Zip:_____________________________________ E-mail: ____________________________________________________Phone:________________________Alt. Phone:_________________ ItemIndicate Formula / Flavor (please circle)Size / Individual Price (please circle) Quantity Total My Daily GrainsNormal / Dry / OilyFull size $14.00 / Sample $5.00 Sub total Tone Up Time Normal to Dry / Normal to Oily Full size $13.50 / Sample $5.00 5.5 % tax Go Green Tea Normal to Dry / Normal to Oily Full size $18.00 / Sample $5.00 S & H* $7.00* Basic Skincare PackageCleanser: Normal / Dry / Oily $42.00 per package Toner, Moisturizer: Dry / OilyTOTAL:$ The AHA Grains Normal / Dry / OilyFull size $14.75 / Sample $5.00Steam My FacialNormal to Dry / Normal to Oily Full size $10.00 / Sample $2.50Blemish Blaster n/a Full size $7.75 / Sample $4.00Bright Eyes n/a Full size $14.50 / Sample $5.00Damage Controln/a Full size $19.50 / Sample $5.00 *If you are picking up your Premium Sampler Package Cleanser, Exfoliator: Normal / Dry / Oily $32.00 per packageorder, cross out and omit Toner, Moisturizer, Steam: Dry / Oily the S&H charge, check the box below and indicate Love-a-Luscious Lip Balm Mint / Mango Maniac / Lemon Frosting One size $6.00desired pickup date and time (wait for confirmation Candy Cream n/a 4 oz. $12.25 / 8 oz. $19.50 / Sample $5.00by e-mail or phone)Second Skin n/a 4 oz. $12.75 / Sample $5.00Rescue Balm n/a 1 oz. $6.75 / 2 oz. $9.85 / Sample $3.50Pickup Date: Bathing Beautychildrens n/a Full size $12.00 / Sample $2.75Bathing Beautysore musclen/a Full size $14.00 / Sample $3.00 _____/_____/______Bite Me!n/a One size $8.00 Pickup Time: Childrens Sampler Packagen/a $12.75 per package _____________am/pm