order-form 8-16-17 draft - d3o11da9fljvz8.cloudfront.net · nourish & strengthen kit (shampoo,...
TRANSCRIPT
1
ORDER FORM NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: EMAIL:
HEALTHY HAIR VITAMINS □ 1 MONTH SUPPLY
$30.00 □ 2 MONTH SUPPLY
$55.95 □ 3 MONTH SUPPLY
$82.95
□ 4 MONTH SUPPLY $100.00
□ 6 MONTH SUPPLY $150.00
□ 12 MONTH SUPPLY $300.00
□ 7 DAY SUPPLY – MINI SIZE $17.50
□ LENGTH SHIRT $29.95 SIZE: ¨ S ̈ M ̈ L ̈ XL
ADVANCEDHAIRCARE□ GENTLE CLEANSE SHAMPOO $29.95
□ BALANCED MOISTURE CONDITIONER $29.95
□ STRENGTHENING AMINO MASQUE $38.95
□ REVITALIZING LEAVE IN CONDITIONER $34.95
$30.00
□ NOURISHING BOTANICAL OIL $34.00
□ INFINITE EDGES SERUM $40.00
2
□ BENEATH THE WEAVE SHAMPOO $29.95
□ BENEATH THE WEAVE CONDITIONER $29.95
□ SPLIT END MENDER KIT (SHAMPOO, CONDITIONER, & LEAVE-IN) $72.95
□ NOURISH & STRENGTHEN KIT (SHAMPOO, CONDITIONER, MASQUE, OIL, LEAVE-IN & HAIR VITAMINS)
$143.00
□ CLEANSE AND CONDITION KIT (SHAMPOO & CONDITIONER) $48.95
□ DEEP REPAIRING KIT (SHAMPOO, CONDITIONER & MASQUE) $76.95
□ ULTIMATE REVIVAL KIT (SHAMPOO, CONDITIONER, MASQUE & OIL) $96.00
□ PURIFY AND PROTECT KIT (BENEATH THE WEAVE SHAMPOO, BENEATH THE WEAVE CONDITIONER)
$48.95
□ NOURISH & PROTECT KIT (BENEATH THE WEAVE SHAMPOO, BENEATH THE WEAVE CONDITIONER, SERUM, LEAVE-IN, OIL & HAIR VITAMINS)
$150.00
□ ULTIMATE PROTECT KIT (BENEATH THE WEAVE SHAMPOO, BENEATH THE WEAVE CONDITIONER, SERUM, LEAVE-IN, & OIL)
$127.00
□ INTENSE HYDRATION KIT (SHAMPOO, CONDITIONER, MASQUE, OIL, LEAVE-IN, INTENSE SHINE BOOSTER)
$113.00
□ INTENSE SHINE ESSENTIAL FATTY ACID BOOSTER $29.95 $27.00
□ DAMAGE DEFENSE COLLAGEN BOOSTER $29.95
$27.00
□ DETOX & DE-STRESS ANTIOXIDANT BOOSTER $36.95 $34.00
□ VOLUME BUILDER AMINO ACID BOOSTER $32.95
$27.00
□ HAIRFINITY MICROSCOPIC HAIR ANALYSIS $99.00
□ HAIRFINITY HAIR DIAMETER TEST ONLY $45.95
□ HAIRFINITY TENSILE STRENGTH TEST ONLY $45.95
□ HAIRFINITY MICROSCOPIC ANALYSIS ONLY $65.95
3
□ HAIRFINITY CRYSTAL HAIR BRUSH $25.00
□ 1 MONTH SUPPLY
$55.95 □ 2 MONTH SUPPLY
$98.00 □ 3 MONTH SUPPLY
$147.00
□ 4 MONTH SUPPLY $196.00
□ 6 MONTH SUPPLY $294.00
□ 12 MONTH SUPPLY $588.00
SILK SLEEP ESSENTIALS □ MULBERRY SILK BONNET $34.00
□ MULBERRY SILK PILLOWCASE $54.00
□ MULBERRY SILK EYE MASK $44.00
□ INFINITE LASH SERUM - 3 Month Supply $64.00
□ INFINITE LASH SERUM - 6 Month Supply $118.00 SENDORDERFORM&MONEYORDERTO:BROCKBEAUTYINC.573JFSMITHAVESLIDELL,LA70460 ORDERTOTAL: