Centre Clauderer ACTIV'CROISSANCE PRINT OUT Order Form
In order to receive your Clauderer ACTIV'CROISSANCE Serum for Frizzy Hair,
please print this form and send it with your payment to:
Centre Clauderer 346, rue Saint-Honoré 75001 Paris.
Send us an email at info@clauderer.com, if you do not have a printer.
YOUR DETAILS
Surname (in capital letters)
Name
Address (in capital letters)
Email (optional)
YOUR ORDER
Yes, I wish to take advantage of your Special Internet Offer and receive
the ACTIV'CROISSANCE Serum for Frizzy Hair (100 ml)
(please tick the appropriate box)
For France and other European countries 49€, instead of 67€ + 5€ contribution to postage & packing : 54€
For other localities 49€, au lieu de 67€ + 10€ contribution to postage & packing : 59€
CHOOSE YOUR PAYMENT METHOD
2 month free credit:
By cheque made out to Clauderer. Please attach 2 cheques of the same amount.
For accounting purposes, please date both cheques with the day of your order.
The first will be deposited upon reception of your order; the second the following month.
Full payment upon order, by cheque or money order made out to Clauderer.
Full payment upon order, by credit card.
Card number :
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Expiration date :
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3 last numbers at the back of your credit card
Compulsory date and signature :
Return to: Centre Clauderer, 346, rue Saint-Honoré 75001 Paris - Tel: +33 (0)1 42 61 28 01
