PERMANENT COSMETICS INSTITUTE
Permanent Cosmetics Supplies
Order Form

Description of Item

Item Number

Quantity

Price Each

Total Price
         
         
         
         
         
         
         
  Total for Merchandise  
U.S. Priority Mail Shipping Charges (see USPS.com for rates)  
Nevada Residents ADD 7.25% Sales Tax  
 TOTAL AMOUNT   

Please print a copy of this order form and send with
your complete credit card information, or
check or money order made payable to:

PERMANENT COSMETICS INSTITUTE, Inc.
Supply Order Department
4012 S. Rainbow Blvd., # K-481
Las Vegas, NV 89103

PLEASE NOTE: Orders paid by personal check are not sent until the check clears.
To expedite your order we suggest paying by cashier's check, money order or credit card.


Name_________________________________________________________________

Address_______________________________________________________________

City_______________________________________State_______Zip_____________

*Credit Card Number:__________________________________Exp.Date:________

*Signature:____________________________________________

Phone:_____________________________

Please print clearly.

Please include a phone number in case we have a question regarding your order.

* If using a credit card, be sure to list your name exactly as it appears on your card.


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* INTERNATIONAL CUSTOMERS: *
Permanent Cosmetics Institute DOES NOT ship to Foreign countries.


 


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