Fax mail order form for Glitter Accents and Eye X-Plosivs

(888) 689-3389 Eyebrowz Designs Inc

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Order Form for Fax or Mail Orders
(Print this form and fax or mail to us - details below)

Name:
Address:

City:	State:	Zip/P.C.:
Country: (if not U.S.)
Phone:
Email:

		Price	Quantity	Price x Quantity
Glitter Kits	Basic Glitter Kit Diamond Glitter Pot, Sheet#1, Sheet#2, body glue, paint brush, duster brush, sponge brush	$ 19.25
	Create Your Own Basic Glitter Kit Circle 1 Choice: Diamond, Gold Nugget, Lavender, Black Diamond, Champagne Circle Choices (select 2) : Sheet#1, Sheet#2, Sheet#3, Sheet#4 includes body glue, paint brush, duster brush, sponge brush	$ 19.25
	Professional Glitter Kit Diamond, Gold Nugget, Lavender, Black Diamond 4 Sheet#1 4 Sheet#2 4 Sheet#3 includes 2 body glue, 2 paint brushes, 2 duster brushes, 4 sponge brush	$ 69.95
	Create Your Own Professional Glitter Kit Circle 4 Choices : Diamond, Gold Nugget, Lavender, Black Diamond, Champagne Write in #'s Choices up to 12 sheets _____Sheet#1, ______Sheet#2, _____Sheet#3, ______Sheet#4 includes 2 body glue, 2 paint brushes, 2 duster brushes, 4 sponge brush	$ 69.95
Glitter Pots	Diamond with sponge brush	$ 5.95
	Gold Nugget with sponge brush	$ 5.95
	Black Diamond with sponge brush	$ 5.95
	Lavender with sponge brush	$ 5.95
	Champagne with sponge brush	$ 5.95
Stencil Sheets	Sheet#1	$ 2.99
	Sheet#2	$ 2.99
	Sheet#3	$ 2.99
	Sheet#4	$ 3.99
Other Items	Body Glue	$ 4.95
Other Items	Paint brush and duster brush	$2.50
Bigger Eyes	Oval Eye X-PLosivs	$3.95
	Almond Eye X-PLosivs	$3.95
	Eyeshadow – Circle Choice: Suede, Sable, Taupe, Coffee, Black	$4.95
	Eyeliner - Circle Choice: Suede, Sable, Taupe, Coffee, Black	$4.95
	Eyeliner - Black	$3.45
	Eye X-Plosiv Kit - Circle Choice: Cool, Warm	$24.99
	Eye X-Plosiv Kit - Custom Write in #'s Choices up to 2 sheets _____Oval Eye X-PLosivs, ______Almond Eye X-PLosivs Eyeshadow – Circle 2 Choices: Suede, Sable, Taupe, Coffee, Black Eyeliner - Circle 2 Choices: Suede, Sable, Taupe, Coffee, Black	$24.99

Shipping & Handling (Choose only 1)	U.S. Addresses	First Class Mail	$ 2.99
	U.S. Addresses	Priority Mail	$ 5.49
	International Addresses	First Class Mail International	$ 3.99
		Priority Mail International	$ 11.49
		Canada only: Xpresspost via Canada Post $ 5.75 for BC,AB,SK,MB; $7.90 all other locations	$ 5.75 or $ 7.90

Grand Total

Prices include all applicable sales taxes. International customers may be required to pay additional sales taxes
and/or duties in their country of residence.

If paying by credit card:

Card Type (Visa, Mastercard or Discover): _________________________

Card Number: ________________________________________________

Expiry (Month, Year): ____________________

Cardholder name: _____________________________________________

Cardholder signature: _____________________________________________

If faxing your order, our number is: (604) 854-6268

If mailing your order, make check or money order payable to "Eyebrowz Designs Inc." and mail to:

Eyebrowz Designs Inc.
P.O. Box 1375
Sumas, WA 98295
U.S.A.