Please print and complete this order form.
Hair By Mail
Miscellanous Supplies Order Form
Make checks payable to: New Look Hair Replacements
Mail your order to:  2114 N. Flamingo Rd, PMB #183, Pembroke Pines, FL 33028
Call Toll Free - 877-886-9045
Name ___________________________________
Date _________________
Address _________________________________
City __________________________ State__________ Zip Code________ Country________
Area Code and Phone Number (____)______________ E-Mail Address__________________
PRODUCT
DESCRIPTION
 Total
Quantity		 Total 
U.S. ($)
Super Stick Lace Front Rolls 3/4"x108" $5.50/ea. Min. 6 Rolls    
1"x108" $5.70/ea. Min. 6 Rolls    
"Clear Strip"s 3M
"Curved" Qty. A___ B___ C___
"Straight" 1" x 3" Qty___		 36 strips/bag. $5.00/ea. Min. 6 bags    
"Tan Cloth" Strips
"Curved" Qty. A___ B___ C___
"Straight" 1" x 3" Qty___		 36 strips/bag. $5.00 / ea. Min. 6 bags      
Clear Rolls 3M 1" x 108" $5.00 Ea. Min. 6 rolls    
1/2" x 108" - $4.50 ea. Min. 6 rolls    
Cloth Rolls  1" x 108".. - $5.00 ea. Min.6 rolls.     
1/2" x 108" - $4.50 Ea. Min 6 rolls     
Liquid Tape  1/2 oz Bottle w/Brush ($7.00)    
1.4 oz. Bottle w/Dauber ($7.00)    
Glue Remover and Refresher 4.0 oz Spray Bottle ($5.00)     
8.0 oz Bottle Drip top ($8.00)     
Lace Bond 2.0 oz Liquid Bond ($60.00)     
Comb Clips $2.00 / ea.     
Please include $13.40 for UPS-Ground shipping. UPS 2 Day Air and Overnight shipping is additional. Please make all checks and money orders payable to "New Look Hair Replacements". Credit cards will be charged when the order is shipped.
  Total  

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