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VIRTUAL LASER KEYBOARD ORDER FORM 1 MERLIN – SAINT GERMAIN ORDER FORM Dear

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VIRTUAL LASER KEYBOARD ORDER FORM 1 MERLIN – SAINT GERMAIN ORDER FORM Dear Powered By Docstoc
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            MERLIN – SAINT GERMAIN ORDER FORM
Dear customer,
Thank you for your interest in our products.
The order form is composed of 3 pages. In the first page, please select the desired
products and accessories using the check boxes with an “X”, specify the quantities in the
relevant fields and write down the total amount. In the second page, fill in the shipping
details as accurately as possible. Once the order form is complete, please send it by
e-mail (as an attachment) to sales@power-positioning.com or print it and send it by
fax to 1-866-5274683 (US).


Product                                     Size       Price      Quantity      Total
  Lavender scent                            15cc       $4.99
    Lavender scent                          30cc       $9.99
    Lavender scent                         100cc      $29.99
    Orange scent                            15cc       $4.99
   Orange scent                             30cc       $9.99
    Orange scent                           100cc      $29.99
    Sandalwood scent                        15cc       $4.99
   Sandalwood scent                         30cc       $9.99
   Sandalwood scent                        100cc      $29.99
   Vanilla Patchouli Scent                  15cc       $4.99
   Vanilla Patchouli Scent                  30cc       $9.99
   Vanilla Patchouli Scent                 100cc      $29.99
    Mint scent                              15cc       $4.99
   Mint scent                               30cc       $9.99
   Mint scent                              100cc      $29.99
    Musk scent                              15cc       $4.99
   Musk scent                               30cc       $9.99
   Musk scent                              100cc      $29.99
   Rose scent                               15cc       $4.99
   Rose scent                               30cc       $9.99

                    http://www.merlin-cosmetics.com/saint germain
                           Tel: 1-866-2289132 (USA Toll free)
                                Fax: 1-866-5274683 (US)
                                                2


   Rose scent                                  100cc        $29.99
   Jasmine scent                                15cc        $4.99
   Jasmine scent                                30cc        $9.99
   Jasmine scent                               100cc        $29.99
   Lemon scent                                  15cc        $4.99
   Lemon scent                                  30cc        $9.99
   Lemon scent                                 100cc        $29.99




Shipping                                                   5-9 days          3-5 days              1-3 days
North America, Europe, Mediterranean                          $11.99            $19.99                $29.99
South America, Asia,Australia/Oceania                         $17.99            $25.99                $34.99
Africa, Middle East                                           $30.99            $38.99                $48.99
*The prices are net prices EXCLUDING local taxes and payments which may vary from state to state
and from country to country

TOTAL (INCLUDING SHIPPING)                                   $    _______________




If the billing and shipping details are the same, write them only once. Please note,
the credit card charge will appear under “Power Positioning LTD.”

                Shipping Details                             Billing Details (if different)
Full Name
N◦.+Street
P.O.Box
City
State
Zip Code

                      http://www.merlin-cosmetics.com/saint germain
                             Tel: 1-866-2289132 (USA Toll free)
                                  Fax: 1-866-5274683 (US)
                                                3


Country
Phone
Fax
E-mail
Greeting
Card/
Comments


Payment arrangements           Credit card        Bank check                Wire Transfer
Credit Card Type                             Visa      Diners            MasterCard     Amex
Credit Card Number
Security Code (3/4/5 digits behind the card)
Expiration Date (mm/yy)                                                  /
Name on Card
Bank Information for Wire Transfer
Name: IDB Bank of New York                            Name: Credit Swiss Bank
ADDR: 511 Fifth Ave. New York, NY 10017               ADDR: Bahnhofstrasse 17, Postfach 357,
ABA / swift number: 026009768                         CH-6301 Zug, Switzerland
Account number: 08-3746-8                             IBAN - CH52 0483 5007 3921 7200 0
Account Name: Power Positioning Ltd.                  Account number - 73921-72
*Please note – the amounts are NET, please pay your   Account Name - Power Positioning Ltd.
local costs to the bank.                              Swiftcode: CRESCHZZ63A




                      http://www.merlin-cosmetics.com/saint germain
                             Tel: 1-866-2289132 (USA Toll free)
                                  Fax: 1-866-5274683 (US)

				
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posted:8/14/2011
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