in USA on orders of $125 or more.
       


   



   Click on Your Skin Type




Eyes Only_________________


Lips Only                          



Face Only                         
         25% Discount
            Eyes - Lips - Face

     
      ~ Click on Picture ~
 
 

Order Form - Print Out - Fax: 215-343-3909


  Name: Please Print _______________________________________

  Address: _____________________________________________

  City: _________________________State: ________ Zip: ________

  Phone: (        ) _______________________________________


  *Email Address: Please Print __________________________________
   *Company will email you when order was received and shipped
_____________________________________________

  Quanity                     Print Product Name                    Retail             Total

     
      _____   _________________________________________________   $ _______      $ ____________
 
      
      _____   _________________________________________________   $ _______      $ ____________

     
      _____   _________________________________________________   $ _______      $ ____________

     
      _____   _________________________________________________   $ _______      $ ____________

     
      _____   _________________________________________________   $ _______      $ ____________

     
      _____   _________________________________________________   $ _______      $ ____________

     
      _____   _________________________________________________   $ _______      $ ____________

 (A) Retail Sub Total: ..............................................$_________
            Pennsylvania State Sales Tax (only if you Live in PA)  x _____6%
 (B) If Applicable > Pennsylvania State Sales Tax Total: .......................+ _______
 (C) USA Shipping Cost: ........................................... +   $5.95*

                                    Add (A) (B) (C) for Order Total: $_________
       *Shipping cost may be more, depending on weight of order. 
 q Check Here - if this is your 'First Order' - Company will apply 20% Discount.
     Payment by: Credit Card or PayPal  (Sorry, No Personal Checks or COD's)
     q Visa   q MasterCard q Discover    q American Express    q  PayPal

        _____________________________________________________       ___________________________
                            > Credit Card Account Number <                                     > Expiration Date <


       _____________________________________________________________________________________
                                                                                > Signature <
                Fax Number: 215-343-3909      Phone: 215-343-4965 24/7

                                           
                                     


Questions or Comments?
~ Click Mail Box ~
 

   Order USPS Shipping Date:
  If you are ordering today,
  your cosmetic order will 
  be shipped on Feb. 10
       
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GLAMOUR PRODUCTS
Eyes / Lips / Face
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