Beauty For Nails - Fax Order Form

To Order by Mail/Fax
Print and completely fill the order form below, including credit card number and signature. Fax the completed form to: 0870 165 7450 or Mail to Creative Nail Place.com Ltd, Unit C2,Elstree Business Centre, Elstree Way, Borehamwood, Herts, WD6 1RX, UK Make cheques or Postal Orders payable to Creative Nail Place.com Ltd

Product	Size	Qty	Price	Total







Shipping (Please contact us for a shipping quote)
Total

First Name:
Last Name:
Phone Number:
Fax Number:
E-mail Address:
Address
Street:
Town/City:
County/State:
Postal Code/Zip:
Country:
Shipping Address If Different
Street:
Town/City:
County/State:
Postal Code/Zip:
Country:
Credit Card Information
Card Type:	MasterCard Visa Switch Solo Visa Delta Cheque
Card Number:
Name on Card:
Expiration Date:		Start Date	Issue No (Switch):
Card Verification No.	(last three numbers on the signature strip on back of card)
Signature:

Back to Shopping Beauty For Nails MAIL/FAX ORDER FORM (Please use this form only if you are going to fax your order to us. We recommend that you print it out and then browse the site.)