If you prefer to make a purchase through mail order, please complete the following form and return with payment. Note: You can fill out the form on screen and then print it once completed. If you have any questions please contact us.  
Qty. Item Description

Price Per Unit

Total Price
     

Our shipping rates are as follows:
Up to $30.00 = $6.95
$30.01 to $75.00 = $9.95
$75.01 and over = FREE
International rates and insurance additional.
Please contact us for special shipping.

Total
Sales Tax: NY and PA customers select county/city
New York
Pennsylvania
Tax
Shipping Charge (see left)
Total Amount Enclosed
 
Customer Information ~
Name:
Address:
Address 2:
City:
State:
Zip:
Phone:
Email:
Shipping Information ~
Same as Customer Address
Name:
Address:
Address 2:
City:
State:
Zip:
Phone:
 
Payment - Via mail order we accept check, money order or credit card
Charge to:
Account #:
Expiration Date:
Signature: _________________________________
 

Send Completed form to:
Cali Cosmetics, Inc.
5030 Champion Blvd., Suite G11192
Boca Raton, FL 33496

Or Fax to:
305.675.7969

   
Thank you for your order. If you have any question please call or email us at: 888.883.CALI or info@calicosmetics.com.  
       
If you prefer to make a purchase through mail order, please complete the following form and return with payment. Note: You can fill out the form on screen and then print it once completed. If you have any questions please contact us.