HAIRPRODUCTS.COM
ORDER BY PHONE
P.O Box 7311
Burbank Ca, 91510
To place an order, please fill out this (3) page order form and call
888-510-HAIR (4247) to speak to a representative.
Name and Address:
DATE_________________________
NAME:__________________________________________________
PHONE#_________________________________________________
1. BILLING
ADDRESS:____________________________________________________
____________________________________________________________
CITY:______________________________________________
STATE:_____________________________________
ZIP CODE:__________________________________
2. SHIPPING
ADDRESS:____________________________________________________
CITY:______________________________________________
STATE:_____________________________________
ZIP CODE:__________________________________
Items to order:
QUANTITY:____________________
ITEM CODE:__________________________________
DISCRIPTION:________________________________________________________
QUANTITY:____________________
ITEM CODE:__________________________________
DISCRIPTION:_______________________________________________________
QUANTITY:____________________
ITEM CODE:__________________________________
DISCRIPTION:_______________________________________________________
QUANTITY:____________________
ITEM CODE:__________________________________
DISCRIPTION:________________________________________________________
QUANTITY:____________________
ITEM CODE:__________________________________
DISCRIPTION:________________________________________________________
Credit Card Information:
CALL 1-888-510-HAIR (4247) TO PLACE YOUR ORDER
__ VISA ___MASTER CARD ___ DISCOVER ___ AMERICAN EXPRESS
** NAME AND BILLING ADDRESS ON CARD MUST BE SAME AS NAME AND ADDRESS ABOVE****
CREDIT CARD #__________________________________________________
EXPIRATION DATE ___________________________
LAST THREE DIGITS ON BACK OF CREDIT CARD ________________
Customer will receive a free Halsa Brush with all hair product orders
SUB TOTAL $ __________________
SHIPPING $ ____8.95______
GRAND TOTAL $_________________
THANK YOU FOR SHOPPING AT HAIRPRODUCTS.COM