Mail Order Page - Perfect Curves
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Print & mail with payment to:
Perfect Curves
3389 Sheridan Street #167
Hollywood, FL 33021
  SHIPPING INFORMATION
First and Last Name:
Street Address 1:
Street Address 2:
City:   State/Province:
Zip Code:   Country:
Email Address:   Phone Number:
QUANTITIES - Enter quantities 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 (USA Only) - $7.95 UPS Next Day Air (USA Only) - $22.95
UPS 2nd Day Air (USA Only) - $12.95 UPS 3-Day Select (USA Only) - $9.95
UPS Ground (USA Only) - $7.95 UPS Next Day Air (USA Only) - $22.95
UPS 2nd Day Air (USA Only) - $12.95 UPS 3-Day Select (USA Only) - $9.95
Subtotal: $0.00
Shipping: $0.00
Total: 0.00
Mail in US Dollars, Cashier Checks or Money Orders payable to: "Perfect Curves". 
PAYMENT DETAILS
If you are paying by credit card, please fill in the required information below:
Card Number:
Card Expiration Date (MM/YY):
/ CVV2 Number: What is the CVV2 number?
Name as it appears on card:
Credit Card Street Address:
Credit Card City, State:
Credit Card Country:
Credit Card Zip Code:

Cardholder Signature:
Please select the credit card type used for this order:
MasterCard
Visa
American Express
Discover Card
 
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