HUILE DES PHARAONS - Price List Order Form

HUILE DES PHARAONS
Price List Order Form

Please use the following form to receive the price list for the full line of Pharaons products. Rest assured that all information will remain confidential.

Your coordinates:

Name:
Surname:
Address:
City:		Province:
Country:		Postal code:
Telephone:		Fax:
E-mail:
Web site:

Specify your status:

	I am a professional...
	massage therapist beautician other (specify)
	I am a teaching establishment

	I am a health center

	I am a S.P.A.

Indicate your preference:

	I wish to receive your price list
	by normal mail by e-mail
	I wish to be informed by email of your promotions and specials

Comments or special requests:

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Order our price list

HUILE DES PHARAONS Price List Order Form

HUILE DES PHARAONS
Price List Order Form