Skin-Spa.com Mail-Order Form
Please fill in all areas of the form.  You can type in the form and then print it out - or - print first and then fill in the form by hand. Mail with payment to the address at the bottom. Please contact Customer Service with any questions regarding ordering procedures.
SHIPPING ADDRESS
Name
Address

City

State

Zip Code

Phone

BILLING ADDRESS
Check if same as Shipping Address.  
Name
Address

City

State

Zip Code

Phone

E-mail 

Please check if you would like e-mail confirmation of your order and shipping status.
DESCRIPTION (specify color/style/type) QTY Price Each Total Price

Shipping Options:
  • USA, Hawaii & Alaska orders: add $6.95 if order total is $74.99 or less
  • Free shipping on orders of $75.00 or more for United States, Hawaii & Alaska
  • Add $15.00 for Canada or APO/FPO
  • Other Countries: Please Inquire

Customer Service:

  • Phone: 1-877-475-4677
  • E-mail: support@skin-spa.com
Total  

FL Res. Add Sales Tax 6% 

Shipping  

ORDER TOTAL  

Credit Card Payment:
Visa MasterCard AmEx Discover
Card Number:
Expiration: / CVV2 #:
Name on Card:
To pay by check or money order in U.S. funds:

Make payable to: Sunni Mullis, L.M.T.
Print and mail form with payment to:
Skin-Spa - Orders
P.O. Box 57062
Jacksonville, FL 32241