Printable Order Form

Bare Beauty Printable Order Form :

To submit an order, please print this form and mail to:

Clarice Jetko Corey c/o Bare Beauty Inc.

2920 Thunder Road

Middleburg, FL 32068

I only accept PAYPAL at this time for online payments , you can pay by Credit Card , eCheck or a Paypal account thru Paypal , sign up is SAFE , fast, easy and free .

I accept Money Orders only if ordering by mail . If ordering by mail , I will contact you before your order is processed with a total amount .

I offer a discount on shipping for multi item purchases please see order fom below for information .

Please allow up to 14 days for shipping.

Items Ordered:

Item Number	Item Title	Size	Color	Quantity	Price







Plus 7% sales tax (FL residents only)
Shipping & Handling , $3.00 for the first Item .
ADD .75 cents for each additional item up to 5 , 6 items or more , add .50 cents for each additional item .
Total including shipping

For more items, please print and include a second form.

Customer Information

*First Name ________________________

*Last Name ________________________

Company ________________________

*Email ________________________

Phone _________________________

Credit Card Information

*Card Type ________________________

*Cardholder’s Name As Shown On Card ___________________________________

*Card Number ______________________

*Expiration Date (mmyy) ____ / ____

*3 Digit Security Code _______________

*Required fields.

Billing Address

*Address Line 1 ______________________

*City _______________________________

*State/Province _______________________

*Country _____________________________

*Zip/Postal Code ______________________

Shipping Address (if different from billing address)

Ship To Name __________________________

Address Line 1 __________________________

City __________________________________

State/Province __________________________

Country _______________________________

Zip/Postal Code _________________________

Thank you for ordering from Bare Beauty Inc.. If you have any questions, please do not hesitate to contact us by phone at: 904-5059100, or by email at: lacatin@bellsouth.net.