PLEASE PRINT THIS ORDER FORM TO FILL OUT. You may call us with a credit card to place your order or fax the order form with your credit card information (or call-in the credit card and then fax if you wish) FAX: 408.374.8152 |
or Send check or money order to: Light Bodies 1550 Winchester Blvd. Suite 107 Campbell, CA 95008 |
| QUANTITY | PRICE | TOTAL | |
| New Skin Plus ~ 6 oz Body Skin Rejuvenator | $30 | ||
| Ped-a-cure ~ 6 oz Foot Repair Cream | $30 | ||
| V.V.R. ~ 6 oz Varicose Vein Cream | $30 | ||
| F.I.E. 4 oz Facial Impurity Extractor | $40 | ||
| F.P.P. 4 oz Facial Purification Promoting Scrub | $30 | ||
| Forever Conditioner 6 oz | $30 | ||
| Forever Tonic 6 oz | $30 | ||
| Equalizer Plus | $22 | ||
| Happy PMS | $22 | ||
| Adam's Equalizer | $22 |
| NAME: SIGNATURE: | PHONE: |
| Shipping address: | E-MAIL: | Circle one: VISA MASTERCARD CARD NUMBER: EXP DATE: |
Thank you for your order! |