Beautiful Naturally Wigs Hairpieces Mail Order Form

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

Beautiful Naturally Wigs Hairpieces Mail Order Form

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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

Total

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
(   ) CERTIFIED CHECKS

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

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Sub-Total

Add 4.50% tax
for orders placed
within Va. state

Shipping

GRAND TOTAL

*

* $11.95

*

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About Us

Mail In Order

Call In Order

Pre Order Invoice

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