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Custom Blend Powder Order Form$30.00 |
Address:____________________________________________________________________________________
___________________________________________________________________________________________
City:_____________________________________________ State: _________________ Zip: __________________
Country: _______________________________________ Country Code: __________________________________
Daytime Phone Number:__________________________________________________________________________
E-mail Address: _______________________________________________________________________________
City:____________________________________________ State: _______________ Zip: __________________
Country: _________________________________________ Country Code: ______________________________
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
Copy Existing Powder (include sample)
Create a New Powder
Select Your Starter ColorSelect Your Toner (Optional)Select Your Correctors (Optional)_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Add Luminizer for additional Shimmer (Optional)
Send the completed form along with a sample of your powder (if appropriate) to us.Custom Blend Powder Charges
Please allow two to three weeks (plus shipping time) to receive your Custom Blend Powder (after we receive your order)
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