"Natural Expressions"
Fax Order Form

Print form, fill out Completely and Fax to Natural Expressions at: 1-612-781-8629
Product Description/Name Quantity Cost Total Cost

1

#_______

$_______

$_______

2

#_______

$_______

$_______

3

#_______

$_______

$_______

4

#_______

$_______

$_______

5

#_______

$_______

$_______

Total Number
of Items =

#_______

Merchandise
Total =

$_______

Shipping & Handling!

_______
_______
$5.99
_______ _______

Grand
Total =

$_______


Your Name: _________________________________________
Address: ____________________________________________
City: __________________________________
State: ________________________ Zip: __________________
Country: _________________________
Phone #: (__________)__________-___________
E-mail: _________________________________
Credit Card (M.C. or Visa) _________________________________
Epiration Date ____________________
CVV Security Code (last 3 numbers) _________________
Name as it appears on card _________________________________
COMMENTS:



[ Back to Henna Kits, Supplies & Products ] [ Back to Body Piercing Jewelry & Products ] [ Back To Air Brush Tattoo Supplies ]