PLEASE PRINT THIS PAGE AND FAX TO:
714-546-9418

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

Name    ________________________Salon Name    _____________________

Address________________________City____________________ State ____  zip_________

Phone ___________________ fax ___________________ e.mail _______________________

Quantity Item Color Extended price
# Focus styling chair CRB            $259.99 ea .       Black $
# Shipping and handling t     $ 29.99 ea . $
. Total . $

                      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

Offer expires Aug, 31st - 2008