Good Hair Days On-Line Order Form * Please Fill in All Required Fields
* Your Name
* Your Company Name
* Tax ID/Resale No.
* Have you ordered from GHD before?	Yes				No
* Payment Terms:						COD		Net 30
If credit card is on file with us, please verify the following:	Last four digits of credit card number				Expiration date MM/YY			3-digit security code
If this is a first time order with your credit card,  please use our credit card fax form.
* Type of Business
Beauty Supply Store		Salon			Distributor		Bridal		Other
*  If you selected "Other" as your type of business, please fill in this line, or type NA if Not Applicable.
* Ship To Address
-  Address Line 2
*  Is this shipping address considered:	Residential          Commercial
* City
* State
* Country
* Zip/Postal Code
* Phone Number
-  Fax Number
*  Email Address	Important! Type carefully and check accuracy of email address.

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Our minimum merchandise order is $100.00, effective October 1, 2008

Order  List
#	Qty.	Unit of Measure				Item #	Color	Brief Description	Cost Per Unit
1		Ea.	Doz.	Gross	Display
2		Ea.	Doz.	Gross	Display
3		Ea.	Doz.	Gross	Display
4		Ea.	Doz.	Gross	Display
5		Ea.	Doz.	Gross	Display
6		Ea.	Doz.	Gross	Display
7		Ea.	Doz.	Gross	Display
8		Ea.	Doz.	Gross	Display
9		Ea.	Doz.	Gross	Display
10		Ea.	Doz.	Gross	Display
Sub-Total
Shipping Instructions and Minimum Order Quantity Information Ship via: UPS (United Parcel Service) UPS International Priority Mail International Express Mail International If you have special shipping instructions, ship date requests or comments, please enter them below

Would you like a sample?

Yes

No

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If you are requesting a sample, please list item numbers below:
1		2		3
4		5		6

Please only hit the submit button once!  You will know your form was submitted 
correctly when you see the confirmation screen appear.  Thank you!