AFE Cosmetics & Skincare - Custom Blend Lip Gloss/Lip Sheer Order Form

Custom Blend Lip Gloss Order Form

Lip Gloss - $25.00 (in a Pot or Tube)

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)

Select the Product You Prefer

The Lip Gloss is a smooth, silky, long wearing gloss in a pot or tube.

Lip Gloss in a Pot

Lip Gloss in a Tube

Select the Base Color

These colors provide a tint of base color to the gloss--they are all light.

No Base Color	Blackberry	Brown	Cocoa
Coral	Flame	Magenta	Mahogany
Marigold	Paprika	Peach	Red Red
Ruby Red	Russet	Tangerine	Wineberry

Select Your Degree of Frost - Select ONE Option Only

No Shine

Pearl (A Hint of Frost)

Frost (Noticeable Shine)

SuperFrost (Very Shiny)

Select Your Frost Color

Bronze	Champagne	Copper	Crystal
Garnet	Gold	Opal	Pink
Pink-Gold	Russet	Sienna	Silver

Select the Additives (Optional)

Additives do not change the color of the lip gloss

Add a Scent (Optional)

Scent does not change the color of the gloss

Exotic Spice (a spicy blend of lavender, patchouli, coriander, ylang ylang, rose and other botanicals)

Vanilla

Chocolate

Cappuccino

Orange Spice

No Scent

Add a Flavor (Optional)

Flavor does not change the color of the gloss

Cinnamon
Creme Brulee
Cherries Jubilee
Champagne
Peach Sorbet
Mint Julep
Raspberry Truffle
No Flavor

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

Custom Blend Lip Gloss/Lip Sheer Charges

Custom Blend Lip Gloss	$25.00 each
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 four to six weeks (plus shipping) to receive your Custom Blend Lip Gloss (after we receive your order)

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