AFE Cosmetics & Skincare - Custom Blend Concealer Order Form

Custom Blend Concealer Order Form

Single - $20.00
Double - $38.00

Please print this form, complete it and mail it to:

AFE
1016 Bluegrass Road
Versailles, KY 40383
USA

Shipping Address

Name:______________________________________________________________________________________

Address:____________________________________________________________________________________

___________________________________________________________________________________________

City:_____________________________________________ State: _________________ Zip: __________________

Country: _______________________________________ Country Code: __________________________________

Daytime Phone Number:__________________________________________________________________________

E-mail Address: _______________________________________________________________________________

Billing Address (Only complete this section if different from Shipping Address)

Address:__________________________________________________________________________________

City:____________________________________________ State: _______________ Zip: __________________

Country: _________________________________________ Country Code: ______________________________

Payment Information (Mastercard/Visa/American Express/Discover)

Credit Card Number: ___________________________________________________________________________

Expiration Date: __________________________ Security Code (3 Digits from Back of Card): __________________

Issuing Bank: _________________________________________________________________________________

Name on the Card: ____________________________________________________________________________

Signature: ____________________________________________________________________________________

Select the Option You Prefer in Each Section

(All Options are included in the Cost)

Create a New Concealer

Select Your Starter Color

OR

Select Your Toner (Optional)

Select Your Additives (Optional)

Send the completed form along with your sample (if appropriate).

Custom Blend Concealer Charges

Custom Blend Concealer	$20.00
Custom Blend Concealer (double)	$38.00
Shipping (Inside the Continental US) - 7-10 day Delivery	6.00
Shipping (Outside the US)	Actual Air Mail Costs
Sales Tax (Wyoming and Kentucky Residents Only)	Calculate your County Sales Tax and Include It

Please allow two to three weeks (plus shipping time) to receive your Custom Blend Concealer (after we receive your order)

If you have any questions, contact us at Order-Inquiry@cosmetics.com.