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The Original Hair Cinch™ Order Form
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| Customer Information |
Date:____________ |
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Name
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Address
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City, State,Zip
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Daytime Phone
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E-mail Address
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Credit Card : Visa, M.C. , American Express, Discover or by check#______
Card #: ____________________________________ exp.date:_____
Signature:__________________________________________
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Leather
color
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Bead
Color
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Bead
Style
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# of
Beads
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Quantity
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Price
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Total$
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| 1- Choose from every catagory for each Cinch requested. 2. Complete the form including daytime phone number and e-mail address |
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Merchandise Total
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| Shipping and Handling Add $3.95 for 1st Cinch Add $1.00 for each additionalCinch |
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| N.C. Residents add %7 sales Tax |
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Transaction Total
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| This Form May be duplicated or printed out and used for mail orders. Please allow 2-4 weeks shipping for mail order purchases. Send to: Hair Cinch Fashions Inc, P.O. Box 520, Arden, N. Carolina 28704 |
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