Miscellaneous Order Form

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Today's Date(Required)

Contact Number(Required)

Would you like to be contacted by email for notifications of new products, special events and sales from Touching You and, our online store, Your Encore Life?(Required)

Yes

ORDER FORM

(Please indicate quantity needed for each product)

BRIAN JOSEPH'S

Lash/Brow Gel ($49)

Shampoo ($14)

LINDI SKIN CARE

Body Lotion 8oz. ($27)

Body Wash 8oz. ($21)

Eye Hydrator 0.5oz. ($33)

Face Moisturizer 2oz. ($40)

Face Serum Citrus 1oz. ($42)

Face Serum Lavender 1oz. ($42)

Face Wash 4oz. ($25)

Lip Balm 0.25oz. ($10)

Skin Cooler Pad - 1 Pad 4”x7” ($27)

Soothing Balm 4oz ($29)

Fight Back Pack ($35)

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ALRA

All Vegetable Unscented Mild Soap Bar ($8)

All Natural Deodorant Sensitive Skin 1oz Travel Size ($7)

All Natural Deodorant Extra Strength 2.5oz ($11)

FOREVER NEW WASH

Powder 16oz ($12)

Liquid 16oz ($12)

Stretch 4oz ($5)

BOODY BAMBOO PANTIES (Please indicate size, then quantity for each color for every style being ordered):

Classic Bikini $9.95

Quantity

Classic Bikini Size

Classic Bikini Color

Full Brief $12.95

Quantity

Full Brief Size

Full Brief Color

Midi Brief $10.95

Quantity

Midi Brief Size

Midi Brief Color

T.H.E. SWIMWEAR (Please indicate size (available sizes 4-20 & 22W-32W) by each piece. A Touching You consultant will contact you for color/print and style decisions)

Mastectomy 1-Piece ($75 - $90)

Mastectomy Tankini ($50 - $55)

BOTTOMS

Full Brief ($30)

*High Cut Brief ($25) *only available in Misses 4-16

Swim Short ($35)

Swim Skirt ($37)

**Existing Touching You patients receive a year-round 15% Discount on Swimwear.
Please be aware that a Shipping & Handling fee may be added.
Payment will have to be received before products are shipped.
A Touching You consultant will contact you to complete your order. If you have any questions please feel free to contact us.
Thank you!

Miscellaneous Order Form

ORDER FORM

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