BEAUTY NATURALLY ORDER FORM.
Please fax it to 1-650-697-1970
or mail it to:
Beauty Naturally
PO Box 4905
Burlingame, CA 94011-4905
U.S.A.

Date_____________________________

Name________________________________________________________________

Address_____________________________________________________________

City________________________________________________________________

State___________  Zip___________  Country___________________________

Home Phone______________________ Business Phone_____________________

PAYMENT BY:

Check___________________________ Amt. Enclosed______________________

Master, Visa or Discover Card___________Exp. Date_____________CVV_______

Credit Card Number__________________________________________________


Product Name                           Price    Qty      Total $
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		       Subtotal (minimum order $15.00) |            |  
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                        CA Residents add TaxRate: 8.5% |            |  
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                                   Shipping & Handling |            |
            (in US $4.95,outside the country see Note) |            |  
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						Total: |            |  
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NOTE: 1.We will not be able to process the order without complete informations.
      2.Outside the US for Alaska, Hawaii and Canada, is $10.95 
        International we charge actual shipping cost plus $4.95 handling
        (Ship by US Air Parcel, it usually takes 7 to 10 days.)