Michael Davy Film & T.V. Make Up Order Form
  Bill to (or confirmation address) Ship to
Name    
Address    
City    
State    
ZIP    
Country    
Telephone    
Quantity Size Item Color Unit Price Total
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
     
  Sub Total  
  Shipping Min.   $10.00
  MATERIAL SURCHARGE 3%
  C.O.D.  
 

TOTAL

  
Card Type: AMEX       Master Card      VISA  
C.C NO.__________________________________________________________________________EXP.______________________________
SIGNATURE________________________________________________________________________________________________________

Please include a confirmation address with credit card orders (billing address to which card is billed to). Please complete this form and either e-mail or fax. To e-mail form just go to "Edit" in the taskbar above and "Select All", then open an e-mail by clicking "HERE" . Copy and paste the form into the body of the message where you can fill it out and send or print it. (do not include credit card info in e-mail). Credit Card information should be phoned or faxed in. Orders and info can be submitted by phone as well but include all information required above. Fax or call 1-888-225-7026 or 386-668-0846 for international. Shipping charges higher than $10.00 (min) will be charged accordingly.