Mail-In Order Form

Print and fill out (clearly) this form and send it via-mail to the address at the bottom of this page.

If you do not have a printer, on a piece of paper write clearly the information needed and send it to the address below.

Volum-Bust Cream (1.7oz.)- $29.00 each/ 2-$52.00/ 3-$77.00

Ocean Potion Cellulite Cream (3.5oz.)- $17.00 each/2-$30.00/3-$40.00

Linfo-Basic Cellulite Cream (6.8oz.)- $29.50 each/ 2-$50.50/ 3-$75.00/ 4-$98.00/ 5-$119.00

Ger-Mar Hair Lotion (4.32oz.)- $29.50 each/ 2-$50.50/ 3-$75.00/ 4-$98.00/ 5-$119.00

Head-To-Toe Skin Care Kit - $19.99 each/2-$35.00

Decollete Cream (3.5oz.)- $23.00 each/2-40.00/3-60.00
                                                                              (Please Print Clearly)
First Name: ___________________________          
Last Name: ______________________________________________
Mailing Address: ___________________________________________________________
City: _____________________________                   
State: ____________________
Zipcode: __________________
Country:________________________
Phone Number: _________________________
E-mail Address: ______________________________________ No Spam! (Only used for notification)
Quantity: ______  Product Name: ___________________________ Price: $_________      
Quantity: ______  Product Name: ___________________________ Price: $_________             
Quantity: ______  Product Name: ___________________________ Price: $_________  
Quantity: ______  Product Name: ___________________________ Price: $_________ 
Quantity: ______  Product Name: ___________________________ Price: $_________ 
Quantity: ______  Product Name: ___________________________ Price: $_________ 
Shipping Charge:___________ Free shipping in the USA (International orders add $7.00 per item)
Total: $__________   (Do not add sales tax)
Send Check or Money-Order To:
JAI Enterprises
P.O. Box 3355
Newtown, CT  06470-1763
Personal checks will take 10 working days to clear prior to shipping.