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.


To see the products and descriptions, simply click on the name of the product.
Quantity Product Size Each Total
_____ NEW!
Body Essence Shampoo
16 oz. $25.00 $______
_____ 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 $______
_____ NEW!
Special Shampoo
8 oz. $18.00 $______
_____ Cream Rinse * 16 oz. $18.00 $______
_____ NEW!
Special Conditioner
8 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 $______

_____
Frizz Away &
Hair Shine
4 oz. $20.00 $______
_____ 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