To order our products by check or credit card, print this form at your computer, fill it out and mail or fax it to the salon. Call MADORA direct at 212-752-1177. New pricing in effect November 1, 2007 To see the products and descriptions, simply click on the name of the product.
	Quantity Product Size Each Total ______ Brightening Shampoo * 8 oz. $15.00 $______ ______ Moisturizing Shampoo * 8 oz. $15.00 $______ ______ Cream Shampoo * 16 oz. $18.00 $______ ______ Men's Gold Shampoo 8 oz. $12.00 $______ ______ Blue Shampoo * 16 oz. $18.00 $______ ______        ______ Cream Rinse * 16 oz. $18.00 $______ ______ 60 Second Conditioner 8 oz. $18.00 $______ ______ 12 Minute Conditioner 3.5 oz. $20.00 $______ ______ Instar Body Building Spray * 8 oz. $19.00 $______ ______ Styling Gel * 8 oz. $15.00 $______ ______ Detangler * 8 oz. $15.00 $______ ______ Pomade 2 oz. $16.00 $______ ______ Face and Skin Cream 4 oz. $20.00 $______ * Available in 2 oz. travel size Please indicate which four items you would like to be included in your very own Travel Pack. ______ Travel Pack * w / your choice of four 2oz. products. $20.00 $______ 1. _______________________________________ 2. _______________________________________ 3. _______________________________________ 4. _______________________________________ ______ Madora Detangler Comb - Ivory IV- #116 $25.00 $______ ______ Madora Detangler Comb - Wide Tooth TS-#59 $18.00 $______ ______ Madora Purse/Pocket Comb TS-#56 $12.00 $______ ______ Madora Fine Hair Detangler Comb TS-#47 $18.00 $______ ______ Madora All Purpose Styling Comb TS-#31 $18.00 $______ ______ The All Purpose Salon Styling Brush APSB $30.00 $______
	MAIL TO: Madora / George Michael of Madison Avenue, 422 Madison Avenue, New York, NY 10017 FAX TO: 212-752-6423. Or Call the salon at: 212-752-1177.
	SHIP TO:
	Name:__________________________________________________________________
	Street Address:___________________________________________________________
	City _____________________________________________ State ____ Zip __________
	Phone ________________ Fax ________________ E-Mail _______________________
	Shipping and Handling in the U.S.A.: $5.00 for First Product & $1.00 for each additional one State Tax: 8.625% Sales Tax For Products N.Y. State Only.
	If paying by Credit Card, please include: Name on Card:__________________________ Circle One: VISA or MASTERCARD   Only Please. Credit Card Number:______________________________ Credit Card Expiration Date:____________ Signature:__________________________________________ If paying by check: Please make checks payable to: Madora, Inc.

	MADORA / GEORGE MICHAEL OF MADISON AVENUE SALON 422 Madison Avenue, New York, NY 10017 USA PHONE: 212 • 752 • 1177............................FAX: 212 • 752 • 6423 E-mail: madorageorgemichael@madoralonghairheaven.com