| First Name: | ________________________ | ||
| Last Name: | ______________________________ | ||
| Address: | ______________________________ | ||
| ______________________________ | |||
| State/Prov: | ________________ | ||
| Zip/Postal Code: | ________________ | ||
| Country: (if not U.S.) | ________________ | ||
| Contact info: | |||
| ______________________________ | |||
| Day phone | ______________________________ | ||
| Evening phone: | ______________________________ | ||
| We'll contact you only if there's a problem with your order. | |||
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| Stencil 1: | _________________________________ | ||
| Stencil 2: | _________________________________ | ||
| Stencil 3: | _________________________________ | ||
| Stencil 4: | _________________________________ | ||
| Powder Color: | _____________________(Light Brown, Dark Brown, Soft Charcoal, Blonde, Black or No Powder) (price will be reduced by $5.00 if "No Powder" is selected) | ||
| Credit card info: | Visa or Mastercard (Circle one) | ||
| Card number: | ________________________ | ||
| Expiry: | _______ | ||
| Cardholder name: | ________________________ | ||
| Signature: | ________________________ | ||
Note: $4.95 shipping and handling added to all orders
If sending check or money order, please make payable to "Eyebrowz Designs Inc."
Your good name provided above will not be sold, traded or used for any other purpose than to fill your order.
Choose 4 stencils from the following list. (NOTE: Some celeb shapes come in different sizes. See our catalog for complete details.)
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Fax order to : (604) 854-6268
or Mail order to:
Eyebrowz Designs Inc., P.O. Box 1375, Sumas, WA 98295
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