40 Richards Ave
Norwalk, CT 06854-2319
Important: This is not a "real-time" transaction. You will need to print this form and then mail it to us with your check or money order payable to IPD, Inc. at the address above.
Name: __________________________________________________
Address: __________________________________________________
City: ___________________ State: _____________ Zip: __________
Email: ______________________________ Date: ___________________
To Arrive: ________________ Cancel: _____________
Musk by Alyssa Ashley |
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| Code | Description | Size (ml) | Size (oz) | Retail | Quantity | Total |
| 73403 | Musk Perfume Oil | 7.5 | .25 | $12.00 | ||
| 73413 | Musk Perfume Oil | 14 | .48 | $19.00 | ||
| 70923 | Musk EDT Spray | 25 | .85 | $15.00 | ||
| 70933 | Musk EDT Spray | 50 | 1.7 | $18.50 | ||
| 70603 | Musk EDT Spray | 100 | 3.4 | $24.00 | ||
| 70687 | Musk Hand & Body Moisturizer | 300 | 10 | $9.00 | ||
| 73703 | Musk Hand & Body Moisturizer | 500 | 16.5 | $13.50 | ||
| 73583 | Musk Bubbling Bath & Shower Gel | 500 | 16.5 | $13.50 | ||
ALYSSA ASHLEY MUSK for men |
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| 76305 | EDT Spray | 50 ml | 1.7 oz | $15.00 | ||
| 76310 | EDT Spray | 100 ml | 3.4 oz | $20.00 | ||
| 76410 | Aftershave Spray | 100 ml | 3.4 oz | $15.00 | ||
ALYSSA ASHLEY WHITE MUSK |
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| 33233 | EDT Spray | 50 ml | 1.7 oz | $19.00 | ||
| 30603 | EDT Spray | 100 ml | 3.4 oz | $24.50 | ||
| 33403 | Oil | 7.5 ml | 1/4 oz | $13.50 | ||
| 33703 | Hand & Body Moisturizer | 500 ml | 16.5 oz | $13.50 | ||
| 33583 | Bath & Shower Gel | 500 ml | 16.5 oz | $13.50 | ||
ALYSSA ASHLEY GREEN TEA |
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| 72305 | EDT Spray | 50 ml | 1.7 oz | $19.00 | ||
| 72520 | Hand & Body Moisturizer | 250 ml | 8.5 oz | $7.50 | ||
LE JARDIN |
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| 11854 | EDT Spray | .55 oz | $10.50 | |||
| 11855 | EDT Spray | 1 oz | $15.00 | |||
| 11857 | EDT Spray | 2 oz | $21.00 | |||
| Total | ||||||
| Shipping and Handling | ||||||
| Total | ||||||