SPECIAL OFFER CANADA

SAMPLE KIT ORDER FORM

Sample Kit 5:
Cleanser
Moisturizer
Facial Gel
Serum
Strontium Lotion

Sample Kit 7:
Cleanser
Moisturizer
Facial Gel
Serum
Strontium Lotion
Eye Cream
Sunscreen "30"

Sample Kit 8:
Cleanser
Moisturizer
Facial Gel
Serum
Strontium Lotion
Eye Cream
Sunscreen "30"
Night Cream

Concealer Sample Box

6 shades:

#2, #4, #6, #8, #10, #12



Customer Name 		 

Personal cheques are not accepted. International money orders in USD
can be made payable to:
Right Face Ltd.

Mail to: Right Face Ltd.
23 East Housatonic St.
Pittsfield, MA 01201
USA


Address

City                                           Province            Post Code

Phone                                           E-mail


If you are paying by credit card,
please fill in the following:                O MasterCard        O Visa        O AMEX

Exact Name on Card: 

Credit Card Number:          Expiration Date: 


Quantity ITEM#
Description
Size Price USD    TOTAL   
RC112

Sample Kit 5

5 items $20.00
RC112

Sample Kit 7

7 items

$28.00
RC112

Sample Kit 8

8 items

$32.00
RC115

Concealer Sample Box

6 shades

$16.00
Postage
$4.00

Total

No handling charges.

To order by mail, print out this order form
You may also fax a filled-out form to 413-236-9541
To order by phone call 413-236-9540

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