This is a two-part order form. First, please complete all information about your order and where to ship it (if you include your email address you will receive UPS confirmation of the shipment). Second, please complete the   Payment  information below the product information on our form. You must include your phone number the banks phone number and your email address. We do not use your email address for any purpose other than providing you with your Fed Ex tracking number or contacting you in regards to your order.


Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail: Please enter an email address. Please use an email format.

Payment  Must Accompany Order !


Item 1:
Size
Price
Quanity
Total
Item 2:
Size
Price
Quanity
Total
Item 3:
Size
Price
Quanity
Total
Item 4:
Size
Price
Quanity
Total
FINAL TOTAL:

Use this Fed Ex Shipping Chart to include in your FINAL TOTAL

Ground Only
Order Amount S&H Charge
< $50 $10.00
$51 - $100 $12.00
$101- $250 $16.00
$251 - $500 $19.00 (25kg call)

Prices and terms subject to change without notice. Gallon lotions, high weight & extended area charges have higher shipping charges that may apply.


Please Complete All Sections
Fax Check Option for Payment

Name(s) on Check
Bank Name
Bank Address
Bank City/State/Zip
Bank Phone #
Check #
Check Date
Amount of Check
Fractional #s

*Upper right hand corner of your check
9-digit Transit#
Account #

Special Instructions:



To prevent spam please enter the answer to the following question: What is 4+4 ?


We must have your phone number or email in case we have questions about your order.

~~Each dishonored check subject to a $30.00 service charge which may be added to the amount of the check tendered.