Avila Salon
Order Form
Print this form, fill in your ordering information, fax it or mail to:
433 Shattuck Ave., Berkeley, CA 94707 1-510-999-8373

Name __________________________________________
Address ________________________________________
City ___________________________________________
PostCode _______________________________________
State ___________________Country __________________
Phone __________________________________________

Product No.

Item Description

Quantity

Price

Total

$

$

$

$

$

$

$

$

$

$

$

$

$

$

Sub Total:

$

METHOD OF PAYMENT

Tax:

$

PLEASE CHECK APPROPRIATE BOXES

Shipping:

$

( ) Mastercard.............( ) VISA............. ( )American Express

Name on card: _____________________________________

Card No. # _________-_________-_________-_________Exp.Date : _________

TOTAL:

$