Beautiful Naturally Wigs Hairpieces Mail Order Form Beautiful Naturally Wigs Hairpieces Mail Order Form

Beautiful Naturally Wigs Hairpieces Mail Order Form

free shipping when you send a check or money order.

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Please read the information on the following link before you fill in this Mail In Order Form

Go Back To OR READ  The Information on How To Fill In This Form

Print out Page One or you may need to print two pages of

This Page or write the required information on a regular piece of paper.

Click Here for:  Credit Card Payment Form not free shipping w/credit card payment

Shipping Address

Name: *__________________________________
Address: *__________________________________
City: *__________________________________
State: *_______________Country_______________
Zip: __________________________________

Ship To Another Address

Name: __________________________________
Address: __________________________________
City: __________________________________
State: __________________________________
Zip: __________________________________

Contact Information: Today's Date:* Month___Day___Year___Work Telephone____________ _______      

Telephone Home: *__________________________________      E-Mail: *___________________________________
Qty. Item  Number Description / Item Name and Color

Unit Price


     Cell Phone Number*__________________    
Payment Details and Shipping Method

(   )  VERIFIED CHECK WITH ID  Home, work Ph. #'s & driver's license #.    Payable to: Alice Hampton % Beautiful Naturally     
(   )  Money Orders
(   )  Credit Card See BELOW

Thank you so much for your order, Alice

Special Instructions You Require:


All orders shipped via United States Postal Service
Choose delivery method: (   ) Standard   (   ) Priority   (   ) Express


Add 5.3% tax
for orders placed
within Va. state

Shipping (free when sending a check or money order)




* $14.50



Click Here For  Credit Card Payment Form

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Mailing Address

Alice Hampton

% Beautiful Naturally Wigs & Hair Pieces

349 Horseman Drive Lynchburg, Va. 24502 434 942-2949

9AM - 7 PM EST

If it is 9AM in California it is 12 Noon here is Virginia