Zulene Creative Hair Design & Beauty Consultant
Your Private Beauty Consultant
Phone: (267) 584-8338
Email: zulenen@yahoo.com 
Tuesday - Friday * By appointment only
 

ORDER FORM

Name: ____________________________________
Street Address: _____________________________
City: ____________________________________
State: ____________________________________
Zip: ______________________________________
Daytime Phone: _____________________________
Evening Phone: _____________________________
Email Address: _______________________________


SHIP TO: (leave blank if same as above)

Name: ____________________________________
Street Address: _____________________________
City: ____________________________________
State: ____________________________________
Zip: ______________________________________
Daytime Phone: _____________________________
Evening Phone: _____________________________
Email Address: _______________________________
ITEM # QTY DESCRIPTION PRICE EACH TOTAL
1.        
2.        
3.        
4.        
5.        
6.        
7.        
8.        
9.        
10.        

 

Merchandise Total: $______
in PA add 7%: $______
Shipping: $______
Air Delivery $______
Sub-Total: $______
TOTAL DUE: $______

 

SHIPPING CHARGES

Order
Amount		 USA, Virgin Is,
Guam, Puerto Rico		 Canada, Mexico,
Carribean, Western
Hemisphere		 All Others
up to $19
$19.01 to $29
$29.01 to $39
$39.01 to $49
$49.01 to $59
$59.01 to $69
$69.01 to $85
$85.01 to $100
over $100 add % of order
Economy Air
Rush Air		 $3.95
$4.95
$5.95
$6.95
$7.95
$8.95
$9.50
$9.95
10%
+ $6
+ $16		 $7.90
$9.90
$11.90
$13.90
$15.90
$17.90
$18.90
$19.90
20%		 $10.90
$12.90
$14.90
$16.90
$18.90
$20.90
$22.90
$24.90
25%

 

Select Method Of Payment
__Visa __ MC __ Novus __ Check/MO

For Credit Card Orders
Card No: _________________________________ Exp. __/__
Signature _____________________________________
 

Print this form and mail with payment (please include telephone # on check/MO)
to address below, made payable to Zulene Hair Design.
 

MAILING ADDRESS

Zulene Hair Design
P.O. Box 22315
Philadelphia, PA 19110

Allow 2 to 3 weeks for delivery.
 

 

 

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