Infuse your hair with the MOISTURE / PROTEIN balance that it needs... to flourish!
HYDRATHERMA NATURALS HEALTHY HAIR CARE PRODUCT COLLECTION MAIL ORDER FORM.
BILLING ADDRESS: SHIPPING ADDRESS (if different)
Name: _______________________________________ Name: _________________________________________
Address: _____________________________________ Address: _______________________________________
City/State/Zip: _________________________________ City/State/Zip: ___________________________________
Country:______________________________________ Country:________________________________________
Phone: Req. __________________________________ Phone: Req. ____________________________________
Email: _______________________________________ Email: __________________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
PAYMENT METHOD (please check) Card # ______________________________________
V# (3 last digits on back of card): ________________
Exp. Date: _____________________________________
Name on Card:__________________________________
Signature: _____________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
PRODUCT QUANTITY PRICE
# C155 SLS Free Moisture Plus Hair Cleanser 12 oz. $18.99
______________________________________________________________I____________I________________ # C316 Moisture Boosting Shampoo 8 oz. $14.99
_______________________________________________________________________I______________I__________________
# C1413 Herbal / Amino Clarifying Shampoo 8 oz. $13.99
_______________________________________________________________________I______________I__________________
# C1414 Moisture Boosting Deep Conditioning Treatment 8 oz. $15.99
_______________________________________________________________________I______________I__________________
# C157 Amino Plus Protein Deep Conditioning Treatment 8 oz. $15.99
_______________________________________________________________________I______________I__________________
# C1516 Protein Balance Leave-in Conditioner 8 oz. $14.99
_______________________________________________________________________I______________I__________________
# C1623 Hydratherma Naturals, Daily Moisturizing Growth Lotion
4 oz. $12.99 8 oz. $18.99
_______________________________________________________________________I______________I__________________
# C1624 Hydratherma Naturals, Hair Growth Oil 4 oz. $12.99
8 oz. $18.99
_______________________________________________________________________I______________I__________________
# C215 Hydratherma Naturals, Follicle Mist 4 oz. $12.99 8 oz. $18.99
_______________________________________________________________________I______________I__________________
# C315 Hydratherma Naturals, Herbal Gloss Heat Protector 4 oz. $11.99
_______________________________________________________________________I______________I__________________
# C2029 HTN STYLING- Foaming Sea Silk Curly Styler 7.5 oz. $14.99
_______________________________________________________________________I______________I__________________ #C3419 Cordless Heating Cap #C3419 $21.99
_______________________________________________________________________I______________I__________________
#C046 Flat Iron Chase Comb $11.99
_______________________________________________________________________I______________I__________________
#C047 HTN STYLING- Botanical Defining Gel 8 oz. $14.99
_______________________________________________________________________I______________I__________________
Hydratherma Naturals Healthy Hair Care Complete Product Collection Set
#C4131 Moisture Boosting Set $87.99
__________________________________________________I_________I_____________
#C4132 Protein Boosting Set $87.99
_______________________________________________________________________l_____________l___________________
#C4133Daily Styling Set $75.99
_______________________________________________________________________l_____________l___________________
#C4134 Complete Collection (Combination Sizes) $115.99
_______________________________________________________________________l_____________l___________________
#C4138 Complete Collection (All large Sizes) $131.99
__________________________________________________I_________I_____________
SUBTOTAL= I I
Add 6% Sales Tax For Georgia Residents Only
GRAND TOTAL = __________I___________I________
Comments:
Signature:____________________________________________________________ Date:____________________________
No Personal checks please. Personal checks will not be accepted or returned.
IF NOT ORDERING ONLINE, PLEASE PRINT THIS FORM AND MAIL MONEY ORDER IN US DOLLARS TO:
(PLEASE MAKE ALL MONEY ORDERS PAYABLE TO Healthy Hair Journey Enterprises L.L.C.)
HEALTHY HAIR JOURNEY ENTERPRISES L.L.C.
P.O. BOX 492786
LAWRENCEVILLE, GA 30049-0047
Thank you very much for your order!
God Bless!
Copyright © Healthy Hair Journey Enterprises LLC. All rights reserved
 | ||||||
US Shipping Rates
From(USD)To(USD) Shipping Rate(USD)
$0.01 to $50.00 $6.92
$50.01 to $80.00 $9.96
$80.01 to $110.00 $13.74
$110.01 to $140.00 $16.62
$140.01 to $170.00 $17.88
$170.01 to $200.00 $19.98
$200.00 to $230.00 $22.02
$230.01 to $260.00 $24.46
Please contact us for additional shipping rates
No Personal Checks Please
PLEASE PRINT AND MAIL
USA ORDERS ONLY
HYDRATHERMA NATURALS PRODUCTS
