The SkinSpa Institute Mail-in 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: Add $9.00 if order total is $50 or less Free shipping on orders of $50.00 or more for contiguous USA Add $15.00 for Canada, Mexico, Alaska, Hawaii & U.S. Territories International Orders: Add $20.00 + Customer Service: Phone: (562) 427-1025 E-mail: info@theskinspausa.com Total   CA Res. Add Sales Tax 9.75%  Shipping   ORDER TOTAL     Credit Card Payment: Visa      Mastercard Card Number: Expiration: / CVV2 #: Name on Card: To pay by check or money order in U.S. funds: Make payable to: The SkinSpa Institute Print and mail form with payment to: The SkinSpa - Online Orders 2201 East Willow St. Suite H Signal Hill, CA. 90755