by HPH Corp.
1529 SE 47th Terrace
Cape Coral, FL 33904 - USA
e-Mail: info@extensionwarehouse.com

Tel: (239) 540-0085 Ext. 3
Fax: (239) 549-9797
Toll-Free in the USA: 1-800-654-9884 Ext. 3
Para Español, Solo en E.E.U.U.: 1-800-234-7967
o (239) 549-0941

Order Form

*Designates Required Field

First Name: * Last Name: *

Salon Name: * Telephone: *

Shipping Address:
*

City: * State: * Zip: *

Country: *

E-Mail Address:

I would like to pay for my order by:

We Accept:

Credit Card Number: / / /
Type: Exp. Date:
Billing Address: Zip Code:

I would like to order the following Extensions:

($19.99 for pre-bonded nail and stick shape
extensions and $89.99 for 1/4" Bonding extensions
for US first order customers and
International customers)

If you do not see an item in the drop down menus, please call to place your order!

Extensions
Quantity	Color	Type	Price

Special Requests:

Accessories
Quantity	Product	Price

Special Requests:

Shipping: (minimum $10.00 - any quantity of hair)

International Customers - Add $20.00

Please allow up to 48 hours for processing a confirmation of your order!