Custom Blend Powder Order Form


$30.00

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)


Copy Existing Powder (include sample)

Copy Sample Powder

Create a New Powder

Select Your Starter Color

    Light
    Light to Medium
    Medium
    Medium to Dark
    Dark
    Dark to Espresso
    Espresso
    Bronze

Select Your Toner (Optional)

    Pink (Cool)
    Coral (Neutral)
    Apricot (Warm)

Select Your Correctors (Optional)

    Correct Slightly Ruddy Skin
    Correct Moderately Ruddy Skin
    Correct Very Ruddy Skin
    Correct Slightly Sallow Skin
    Correct Moderately Sallow Skin
    Correct Very Sallow Skin
    Other, Please Describe in Detail_________________________________________
    _____________________________________________________________________
    _____________________________________________________________________
    _____________________________________________________________________


Add Luminizer for additional Shimmer (Optional)

Add Luminizer


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


Custom Blend Powder Charges


Custom Blend Powder $30.00
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 Powder (after we receive your order)

Please note that adding corrector to your powder may change the way the color appears in the jar, but when applied the powder will provide coverage and correction. If you have any questions, contact us at Order-Inquiry@cosmetics.com.

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