Order Form
$50.00 minimum order required if using a credit card

* = Required info

 

 

Name*

 

Date*

 

Address*

 

Phone*

 

E-mail*

         

#

PRODUCT

SIZE

$/UNIT

QTY.

AMOUNT

1

Rejuvi “e” Eyebrow Revitalizer

10 ml.

$35.00

2

Rejuvi Eyelash Revitalizer NEW

3.5 ml.

$65.00

3

Rejuvi “p” Normalizing Cream

1 oz.

$40.00

4

Rejuvi “p” Normalizing Cream (for open acne skin)

1 oz.

$40.00

5

Rejuvi “p” Solution for Acne Skin

10 ml.

$38.00

6

Rejuvi “p” Skin Conditioner

1 oz.

$45.00

7

Rejuvi “s” Facial Sun Block (SPF 25)

2 oz.

$25.00

8

Rejuvi “u” Wild Yam Cream

2 oz.

$36.00

9

Rejuvi “u” Breast Firming Complex

3.4 oz.

$38.00

10

Rejuvi “u” Breast Firming Cream

2 oz.

$32.00

11

Rejuvi “x” - Cell Vitamin C Complex

1 oz.

$65.00

 
        HAIR
CARE PRODUCT

12

Rejuville Hair Tonic

2 oz.

$76.00

13

Rejuville Maintenance

3 oz.

$52.00

14

Rejuville Shampoo

12 oz.

$18.00

15

Rejuville Anti-Dandruff Shampoo

12 oz.

$19.00

16

Rejuville Hair Conditioner

12 oz.

$16.00

17

Rejuville Hair Revitalizer

1 oz.

$52.00

 

 

MERCHANDISE TOTAL:

 

California sales tax (8.25%) if applicable

 

Grand Total

 

* Note: N= for normal skin D= for dry skin O= for oily skin S= for sensitive skin
Please mark the appropriate number with an N, D or S, if applicable:
 

3

10

23

Normal will be chosen if there is no any indication made.
 

 

 

Add 8.25% sale tax for California orders and the shipping cost depending upon the geographic location. We use regular airmail for overseas and UPS for U.S.A., unless otherwise specified.

$50.00 minimum order required if using a credit card

Payment option:

Visa

Mastercard

Card Number

Expiration Date

Cardholder name

     

You may print this form and mail to: Tammy Skincare and Cosmestics, Inc.

1818 Tully Road, Suite 102, San Jose, CA 95122, USA.

 Email:tammyskincare@earthlink.net

Fax:(408) 274-1203

THANK YOU FOR YOUR ORDER