Order Form

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Free Shipping for ORDERS OVER $50.00

1. FOR CREDIT CARDS PAYMENTS:

a) E-Mail this order form directly to us (see below).

OR

b) Print & Fax this order form to: (310) 573-7790.

2. FOR CHECKS OR MONEY ORDER PAYMENTS:

Please print and send this order,
including the payment to:
PASTELS Int. Inc. PO Box 1180
Pacific Palisades, Ca 90272.

3. FOR QUESTIONS AND MORE INFORMATION CALL:

(800) 266-0088

Billing Information
*Full Name:
Company:
*Day Phone:
Home Phone:
Fax:
*Email:
*Address1:
Address2:
*City:
*State/Province/County:
*Zipcode:
*Country:
*Indicates a REQUIRED FIELD

Ship To Information
Please LEAVE BLANK unless different from address above.
Ship To Name:
Day Phone:
Ship To Address1:
Address2:
City:
State:
Zipcode:
Country:

Credit Card Payment Information
Name on Card:
Card Type:
Card Number:
Expire Date:		Month: Year:

Product Information
SKINERGY

Itm #	Qty	Price	Description	Total
05		10.00	MOISTINT - light - 1.25 fl. oz.	$
06		10.00	MOISTINT - medium - 1.25 fl. oz.	$
08		10.00	DAYMOIST - 1.25 fl. oz.	$
09		12.50	NIGHT CREAM - 1.25 fl. oz.	$
306		10.00	FACE WASH - 3.3 fl. oz.	$
602		6.25	TREAT & COVER STICK - 0.09 fl. oz.	$
SKINERGY TOTAL				$

MULTIBENEFIT PATCHES

Itm #	Qty	Price	Description	Total
307		9.50	MULTIBENEFIT PATCH for WRINKLES STARTER KIT - 12 patches(6 disks)	$
308		17.00	MULTIBENEFIT PATCH for WRINKLES ECONOMY KIT - 30 patches(15 disks)	$
310		5.00	BLEMISHES PATCH - 36 patches	$
311		5.50	BLACKHEADS PATCH - 6 patches	$
MULTIBENEFIT PATCH TOTAL				$

DEPILATORIES

Itm #	Qty	Price	Description	Total
203		6.50	ALOEBARE WAX STRIPS - LEG & BODY KIT - 10 strips	$
204		5.50	ALOEBARE WAX STRIPS - FACE & BIKINI KIT - 10 strips	$
205		15.00	ALOEBARE SECRETS - VIDEO/INSTRUCTIONS	$
206		6.50	ALOEBARE TOWELETTES - AFTER WAX CARE - 20 ea.	$
C106		6.50	AZULENE OIL - AFTER WAX CARE - 1 oz	$
ALOEBARE TOTAL				$
SUBTOTAL				$
CA RESIDENTS: ADD 8.25% TAX				%
Free Shipping for ORDERS OVER $50.00 SHIPPING & HANDLING				$
TOTAL FOR THE ORDER				$

Comments:

Please allow 2 - 4 weeks for delivery.

PO Box 1180 � Pacific Palisades, Ca 90272

Tel: (800)266-0088 � Fax: (310)573-7790

E- mail: pastels@earthlink.net

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