Shun Mie Skin Care Products
ORDER FORM
Minimum Order $60 :: Free Shipping on Orders of $100 or More

SHIP TO (please type or print clearly):

Name_____________________________________________________________

Address___________________________________________________________

City_________________________________ State___________ Zip ___________

Tel_______________________ E-Mail___________________________________

ITEM NO. QUANTITY

PRODUCT

PRICE EACH TOTAL
         
         
         
         
         
         

Merchandise Total   

 
Shipping & Handling (see chart below)    
SUB-TOTAL    
CT Residents add 6% sales tax    
ORDER TOTAL    

U.S. Shipping & Handling Charges

Merchandise Total        Please Add

$60 - $75                     $7.99
$76 - $100                   $8.99
$100 +                         FREE

Form of Payment

___ Check/Money Order payable to “Shun Mie Skin Care”

___ Visa        ___ MasterCard     ___ American Express

________________________________________   ______________
                 Credit Card No.                                    Exp. Date

Signature_______________________________________________
 

Mail completed order form along with payment to:
Shun Mie Skin Care, 109 Greenwich Ave, Greenwich, CT 06830

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