STOCKIST ORDER FORM - TIER 3

SALON STOCKIST ORDER FORM

TIER 3 - MINIMUM ORDER OF 20 PRODUCTS IN TOTAL

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Salon Name
Full Name

First NameLast Name
E-mail*
Contact Number

Area CodePhone Number
Billing Address*

Street Address

Street Address Line 2

CityCity

Postal CodeCountry
Preferred Payment

BANK TRANSFERPAYPAL TRANSFER (3% charge)
Products
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ARGAN OIL HEAT DEFENCE SPRAY£8.10

Quantity
Item subtotal:£0.00

EDGE CONTROL£4.80

Quantity
Item subtotal:£0.00

HYDRATING SHAMPOO£8.25

Quantity
Item subtotal:£0.00

MOISTURISING CONDITIONER£8.25

Quantity
Item subtotal:£0.00

MOISTURISING LOTION£8.00

Quantity
Item subtotal:£0.00

Total £0.00
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Same as the Billing Address?

Yes
Shipping Adress

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Requests

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Should be Empty: