Hair Energizer™ / Healthy Hair Kits
Printer Form for Mail Order (Go to "File" and "Print") or Order Online
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Customer Name:
Address:
City: State: Zip:
Day Phone: Eve. Phone: Fax: E-mail:
Qty Item Description Price Total
  HEVF4 Hair Energizer™ Best Value 4 month supply (4 bottles Vitamins, 2 bottles Follicle Stimulator)

$69.95

 
  HEVH2 Hair Energizer™ Best Value 2 month  (2 bottles Vitamins, 1 bottles Follicle Stimulator) $39.99  
  HEVF1 Hair Energizer™ "Try Me"  w/o shampoo (1 bottles vitamins, 8 oz Follicle stimulator) $29.99  
  HEVFS Hair Energizer™ "Try Me" Special w/ shampoo (1 bottles vitamins, 4 oz follicle stimulator, 4 oz w/ hair Energizer shampoo) $30.95  
  HFVCP 1 Month Starter Kit w/ HE Shampoo 4 oz, HE vitamin (60), HE Follicle stim (4 oz) 1/2 jojoba $31.95  
  HFVC 2 Month starter kit (double what is on the line above) $57.95  
  HEV Hair Energizer™ Vitamins (2 bottles - 60 tablets per bottle) (2 month) $21.95  
  HEFS Hair Energizer™ Follicle Stimulator (8 oz  per bottle)  (2 month) $18.95  
  HES Hair Energizer™ Rot Energizing shampoo (8 oz  per bottle) ( 2 Month) $16.95  
  HEV4 Hair Energizer™ Vitamins ( 4 bottles - 60 tablets per bottle) (4 month) $34.95  
  HEF1 Folli-Cleanse Deep Cleansing shampoo for oily scalp (8oz) $12.95  
  HEKTC Keeping the Color shampoo that replenishes color treated and permed hair (16 oz) $13.95  
  HFT Dry Hair Kit w/ HE Vitamin (2 month) and Follicle Stimulator (2 month) & Golden Root Shampoo $47.95  
  HFT Oily Hair kit w/HE Vitamins (2 month) Follicle Stim (2 month) and Folli-cleanse shampoo  $47.95  
  HFHB Colored Hair Kit w HE Vitamins (2 month) Follicle Stim ( 2 month) & Keeping the Color shampoo  $47.95  
  HE-4 4 month Hair Energizer Plan 4 bottles of hair energizer vitamins, 2 bottles of Follicle stimulator and 2 bottles of shampoo ( pick whether you have dry, colored, oily hair or thinning hair and we will send the appropriate shampoo!

dry____       colored______       oily hair_______      thinning hair_______

     

$79.95  
  HE-6 6 Month - Hair Energizer Plan ™ 

    Same as above with an an extra bottle of each!

     

    dry_____         colored________         oily hair______       hair thinning_______

 

$109.95  
SUBTOTAL:  
SALES TAX:
(8.25% in TN)
 
SHIPPING (USA ONLY): $4.00
TOTAL AMOUNT: $
PAYMENT INFORMATION
PAYMENT TYPE:* (Please select one.) No Cash or C.O.D. accepted. Check/money order payments accepted with postal mail orders ONLY.
  Credit Card   Check**   Money Order
** Make checks payable to: Healthy Hair Plus (checks must be in US dollars ONLY)

CREDIT CARD PAYMENT INFORMATION:

TYPE OF CARD:*
  Visa   MasterCard   American Express  
CARD NUMBER:* (Must be 16 digits) EXP. DATE*
    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
CARDHOLDER'S NAME AS IT APPEARS ON THE CARD:*
 
CARDHOLDER'S SIGNATURE:* (Orders can not be processed without signature)
X

Mail your order / check payable  to:

Healthy Hair Plus
PO Box 901
Grayson, GA 30017

888-909-1658 
(toll free ordering ~ 9-7 Eastern Time ~ Mon.-Fri.)

You may fax this to 678 580 5199 (if paying with Credit Card)