humanhairpieces.com-MAIL ORDER FORM

  MAIL ORDER FORM




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MAIL ORDER FORM

If you would prefer to mail in your order, please fill out this form and mail or fax it to us:

Customer Information

Name:
Address:
City State
Zip/Postal Code: Country
Phone: ()- email:
 PLEASE PROVIDE YOUR PHONE NUMBER AS THIS WILL BE YOUR ACCOUNT ID #

Shipping Information   CHECK HERE if above information is the same

Name:
Address:
City State
Zip/Postal Code: Country
Phone: ()- email:

Order Information

Item #
Description
1st Color
2nd Color
Qty
Unit Price
Total
Sub Total:
New Jersey Residents, add 6% Sales Tax:
Total Amount Due

Payment Information 

Method of Payment
Card Holders Name:
Check/ Money Order
Credit Card Number:
Credit Card (last 3 or 4 digits on back of card)
Expiration Date:
Card Holders Signature:
  • If your paying by check, please make check payable to Look Of Love
  • All orders that are paid by personal check will be held for a minimum of 5 business days for the check to clear.
  • Cashiers Check or Money Orders will be processed immediately.

COMMENTS
Please post additional comments or
special Instructions pertaining to your
order. For special color considerations.

PLEASE MAKE SURE THAT ALL INFORMATION IS FILLED IN AND PRINT OUT THIS FORM

YOU CAN FAX YOUR ORDER TO 908-687-9509
OR...MAIL TO:

LOOK OF LOVE INTERNATIONAL
555A NORTH MICHIGAN AVENUE
KENILWORTH, NJ 07033

ANY QUESTIONS? CALL OUR TOLL FREE NUMBER: 1-800-526-7627

You can DOWNLOAD a Printable version of the MAIL ORDER FORM HERE. You need Adobe® Acrobat Reader to view


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