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STEVENS CREAM PRODUCTS FAX ORDER FORM |
| Name : |
| Name (as appears on credit card): |
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Address: |
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City: |
State: |
Zip: |
| Circle your card: |
Mastercard |
Discover |
Amex |
Visa |
Check/Money Order |
Credit Card #:_____________________________________
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Exp. Date: ____/____ |
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| Product |
Price |
S/H |
Qty |
Total
Cost |
| Free Sample - Fragrance Free |
Free |
$4.97 |
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| 8oz Pump - Fragrance Free |
$11.97 |
$5.97 |
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| Get Acquainted Special! |
| Buy 3 - Get One Free!
8oz Pump -
Fragrance Free |
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$35.94 |
$8.47 |
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| Excellent Value! |
| Case of Six 8oz Pumps - Fragrance Free |
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$68.22 |
$14.97 |
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| Best Value! |
| Case of Twelve 8oz Pumps -
Fragrance Free |
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$85.32 |
$19.97 |
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TOTAL |
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