Diana's Color Collage/ COSMETICS ORDER FORM
December 2009
DCColors@aol.com www.dianaolson.com
PLEASE FILL THIS FORM OUT, PRINT IT AND MAIL / FAX IT WITH YOUR PAYMENT TO:
Diana's Color Collage 465 E. Union St. #100, Pasadena, CA 91101
Phone: (626) 584-9761 or Fax (626) 584-1856
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QUANTITY |
PRODUCTS |
PRICE EACH |
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ADVANCED FIRMING COMPLEX |
$79.00 |
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ALPHA HYDROXY ACID SERUM |
$43.00 |
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ALPHA HYDROXY ACID DAY MOISTURIZER (Normal to Dry) SPF15 |
$37.00 |
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ALPHA HYDROXY ACID NIGHT CREAM |
$38.00 |
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ALPHA HYDROXY ACID TONER |
$34.00 |
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ANGULAR BRUSH |
$11.95 |
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ANTIOXIDANT CREAM |
$39.00 |
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BLUSH BRUSH |
$18.95 |
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BRUSH ON BROW |
$17.95 |
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CAMOUFLAGE CREAM (pot) |
$16.95 |
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CAMOUFLAGE STICK (wand or tube) |
$18.95 |
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CONTINUOUS MOISTURE CREAM (Dry) |
$37.00 |
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CREME BLUSH |
$17.95 |
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ENERGIZING GEL (for puffy eyes) |
$38.00 |
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EQUALIZING SERUM (Smoothes skin) |
$59.00 |
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EYE FLUFF BRUSH |
$11.95 |
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EYE LINER |
$17.95 |
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EYE SHADOW |
$16.95 |
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EYE SPONGE |
$11.95 |
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FOAMING FACIAL REFINER |
$25.00 |
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FOUNDATION |
$29.95 |
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HYDRATING VITAMIN CREAM (Moist!) |
$44.00 |
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HERBAL VITAMIN MIST (8 oz.) |
$22.95 |
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INSTANT CALM |
$47.00 |
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LIP GLOSS |
$17.95 |
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LIP LINER |
$17..95 |
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LIPSTICK |
$19.95 |
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MASCARA |
$17.95 |
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METAL LIP BRUSH |
$15.95 |
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PANTHENOL CLEANSER-ALL SKIN TYPES |
$23.00 |
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PANTHENOL TONER |
$19.95 |
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PERFECT SKIN (Makes "Perfect" Skin) |
$59.00 |
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PORE CLEARING CLEANSER (Oily) |
$23.00 |
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POWDER BLUSH |
$19.95 |
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PURE AND SIMPLE CLEANSER (Great!) |
$26.00 |
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ROUGE BRUSH |
$17.95 |
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SHINE-FREE SOLUTIONS (Oily Skin) |
$37.00 |
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SKIN PREP CLEANSER |
$31.00 |
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SPONGES |
$11.95 |
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STRESS RECOVERY Lotion (Oily) |
$30.00 |
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SUPER DOME BRUSH |
$21.95 |
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TRANSLUCENT POWDER |
$18.95 |
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TRANSLUCENT POWDER COMPACT |
$17.95 |
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VISIBLY MOIST TONER |
$24.00 |
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INSURANCE, POSTAGE, HANDLING |
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Up to $30.00=$7.95 |
$30.01 to $60.00=$9.95 |
$60.01 to $99=$11.95 |
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$99.01 to $130.00=$13.95 |
$130.01 to $160.00= $15.95 |
$160.01 up =$17.95 |
Name
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Street Address
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City
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State, ZIP
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Credit Card #
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Exp Date
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CVV2
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(3 digit # on back of card)
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Email
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Fax Number
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Home Phone
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Work Phone
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SUBTOTAL:
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SH/HND: |
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CALIF. TAX: 9.75% |
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TOTAL: |
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PLEASE FILL THIS FORM OUT, PRINT IT AND MAIL / FAX IT WITH YOUR PAYMENT TO:
Diana's Color Collage 465 E. Union St. #100, Pasadena, CA 91101 or FAX it to 626-584-1856; Phone: (626) 584-9761
