Drannel Cosmetics Order Sheet

On-Line-Payment:  Log on to www.PayPal.com send payment to mail@drannel.com See On Line Payment on Shop page for instructions.

Fax:  Complete our order sheet and then fax it to us at:  (212) 423-9273

Mail: Complete our order sheet and then mail exactly as follows: Drannel P.O.BOX  287, New York, NY 10029
 
Product Color Qty: Price Subtotal
Example:  Matte Lipstick Raisin 2 $12.00 $24.00
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Subtotal:

 $

 Tax: (NY 8.625%)

 $

Shipping:

 $

TOTAL:

 $
BILLING INFORMATION:
Name:
Billing Address:
Billing Address2:
City: State Zip:
Credit Card:   VISA     MasterCard     Discover    American Exp.
Card Number:
Expiration Date:
Phone Number:
Email Address:

  If paying by check or money order please be sure to include your payment in your mailing envelope.

SHIPPING INFORMATION:
Name:
Billing Address:
Billing Address2:
City: State Zip:
   

Copyright © 1992 by Drannel. All Rights Reserved.