PLEASE PRINT THIS PAGE AND FAX TO:
714-546-9418
or call toll free 800-887-2566

I Would like to order the following and have it ship to:

Name    ________________________Salon Name    _____________________

Address________________________City____________________ State ____ zip__________

Phone ____________________- fax ____________________ e.mail _____________________

                      Please charge my     visa      mastercard      amex 

                           X__________________________      Expiration date   
                                               Sign here

            Or I'm sending you a check for my order 
     Please allow 7 working days for check to process