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Boykin’s Int’s Gift of Dream Order Form

 

                                 Please Print

 

Date:______________

 

First Name: _______________________ Last Name: _____________________

 

 

Address: ________________________________________________________

 

City: ______________________ State: _____ Zip Code: ___________________

 

Phone # ____________________ Email Address ___________________________

                  

                     

 

Quantity	Description	Unit Price	Total
	Extra Light Oil - 4 oz	$7.75
	Double Strength Oil  - 4 oz	$7.75
	All purpose Oil - 4 oz	$7.75
	New Revitalizing Conditioner – 8oz	$7.75
	Shampoo Elite  8 oz	$7.75
	Subtotal:
	Plus Shipping
	Total Amount Of Order:

 

Type of Payment:

Check

C.O.D.

Money Order

 

Mail to:

Boykin’s Intl Hair Products, Inc.

1416 Lytle Street

Louisville, KY 40203

 

Toll free: (888) 239-7113 or Local: (502) 968-8229

Fax # (502) 584-1586