FRAMES & FRAMING
COSMETICS & MAKEUP
PORTRAIT GALLERY
WEDDING IDEAS
CONTACT US
ABOUT US
CROW'S NEST
INFORMATION STATION
Most of our products are available with our on-line shopping basket and the secure server. However, any of our products can be ordered by using this form.

To E-MAIL AN ORDER: simply send the order information to us by email. Email half of your your credit card information in one email and the other half in a separate email.
TO FAX AN ORDER: Fill out the form and fax to: 1-435-674-5217.
TO PHONE AN ORDER: Call toll-free 1-800-295-5217, from 10 a.m. until 6 p.m. Mountain Time.
TO MAIL AN ORDER: Print out this order form and send to:

Bracken House, Inc.
70 West 700 South
St. George, Utah 84770 USA
MAKEUP & COSMETIC CATALOG


ORDER FORM
Print and complete to order makeup & cosmetics.
FRAMES & FRAMING CATALOG
Payment must accompany order and must be in United States funds.
SHIPPING & HANDLING: will be added for the actual amount of shipping costs.
All shipments will be made by U.P.S. unless otherwise requested.
ITEM
DESCRIPTION/COLOR
QUANTITY ORDERED
PRICE PER UNIT
TOTAL
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...@$
...@$
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SUB-TOTAL$
SHIPPING & HANDLING$
ORDER TOTAL$
SHIPPING INFORMATION: Complete the following form. Please print clearly.
FIRST NAME:.
LAST NAME:.
SHIPPING ADDRESS:.
EMAIL ADDRESS:.PHONE:.
CITY:.STATE:.
ZIP:.COUNTRY:.
PAYMENT METHOD: CIRCLE ONE.
VISA
MASTER CARD
DISCOVER
AMERICAN EXPRESS
CHECK OR MONEY ORDER
CREDIT CARD NUMBER:
.
EXPIRATION DATE:
.
YOUR SIGNATURE:
.
MAIL TO: Bracken House Cosmetics
70 W. 700 S.
St. George, Utah
U.S.A.

PHONE: 800-295-5217
FAX: 295-674-5168
EMAIL: bracken@brackenhouse.com

LOCATED AT: www.brackenhouse.com

Contents of this order form, catalog, and all other materials on this site are
copyright Bracken House, Inc. 1998.
FRAMES & FRAMING
COSMETICS & MAKEUP
PORTRAIT GALLERY
WEDDING IDEAS
CONTACT US
ABOUT US
CROW'S NEST
INFORMATION STATION