Print and fax us your command with creditcard details on your fax

AZUR VITAL fax : +32 32 36 32 34

Ship to
 

Name:…………………………………………..

Address:………..……………………………….

City:……………………………………..……... St:………………..Zip ……………..…….

Phone / E-mail :……………………….


 
 

Units 

description

unit price

TOTAL

ANTI AGEING SERUM BIO3

29 euro

NIGHT CARE ACTIVE REPAIR BIO3

26 euro

DAY CARE REBALANCING BIO3

25 euro

"DRAINAGE " CIRCULATORY

22 euro

PROTECTING FLUID SCREEN URBAN

23 euro

DEEP CLEANSING MASK

16 euro

PURIFYING CLEANSER

15 euro

ACTIVE REBALANCING TONIC LOTION

14 euro

*******PROMOTION SALE *************** ASK US FOR DETAILS-ΰ by fone

and price

SHIPPING &HANDLING

euro 3

TOTAL 

EURO…………………


 

Payment details

Eurocheck

Credit card nr. ………………………… signature :…………………….

Expiry date ……………………….

name………………………………….






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