AFE Cosmetics & Skincare - Custom Blend Lipstick Order Form

Custom Blend Lipstick Order Form

$60.00 (Includes Two Tubes of the Same Shade)

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 Your Starter Color:

Select your Starter Color from one of our existing lipsticks: _______________________________
Use My Sample as the "Starter" color and make the following changes:

What Texture Do You Want - Select ONE Option Only

Select the Additives (Optional)

Additives do not change the color of the lipstick

Add a Scent (Optional) - Select ONE Only

Scent does not change the color of the lipstick

Add a Flavor (Optional) - Select ONE Option Only

Flavor does not change the color of the lipstick

(You may select both a scent and a flavor, but do so with care)

Select Your Degree of Shine - Select ONE Option Only

The more shine, the lighter/brighter the lipstick will appear
(Moisture Matte will only have a slight hint of shine and Long Wearing Matte will not have any shine--however, the amount of frost will change the color of the lipstick)

Select the Color of the Frost

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

Select the Color of Glimmer - Select ONE Option Only

Bronze Glimmer

Nugget Glimmer

Platinum Glimmer

Ruby Glimmer

Custom Blend Lipstick Charges

Custom Blend Lipsticks	$60.00
Shipping (Inside the Continental US) - 7-10 day Delivery	6.00
Shipping (Outside the US)	Actual Air Mail Costs

Please allow four to six weeks (plus shipping time) to receive your Custom Blend Lipsticks (after we receive your order)

Please note that changing the formulation or the level of shine in a lipstick may change the way it appears on your lips. If you have any questions, contact us at Order-Inquiry@cosmetics.com.