Fax Order Page
-
Pefect Curves
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Fax completed form to:
954-241-6979
SHIPPING INFORMATION
First and Last Name:
Street Address 1:
Street Address 2:
City:
State/Province:
Zip Code:
Country:
Email Address:
Phone Number:
QUANTITIES - Enter quantites and the form will calculate your total
Qty
SKU
Item Name
Price
Subtotal
PCSP4
Perfect Curves Package - 4 Bottles of Capsules & 4 Jars of Gel
239.95
0.00
PCSP6
Perfect Curves Package - 6 Bottles of Capsules & 6 Jars of Gel
299.95
0.00
PCS1
Perfect Curves Capsules 1 Bottle
59.95
0.00
PCS2
Perfect Curves Capsules 2 Bottles
79.95
0.00
PCS4
Perfect Curves Capsules 4 Bottles
149.95
0.00
PCS6
Perfect Curves Capsules 6 Bottles
199.95
0.00
PCSG1
Perfect Curves Gel 1 Jar
39.95
0.00
PCSG2
Perfect Curves Gel 2 Jars
69.95
0.00
PCSG4
Perfect Curves Gel 4 Jars
119.95
0.00
UPS Ground Shipping - $7.95
UPS Next Day Air - $24.95
UPS to Canada - $14.95
USPS International - $19.95
UPS Ground Shipping - $7.95
UPS Next Day Air - $24.95
UPS to Canada - $14.95
USPS International - $19.95
Subtotal:
0.00
Shipping:
0.00
Total:
0.00
Fax completed form to:
954-241-6979
PAYMENT DETAILS
If you are paying by credit card, please fill in the required information below:
Card Number:
Card Expiration Date (MM/YY):
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CVV2 Number:
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MasterCard
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