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| To | |||||
| Hagalis AG | |||||
| Goldbacherstr. 8 | |||||
| D - 88662 Überlingen | |||||
| Fax: 07551/3019995 | By facsimile or post | ||||
| From company / Ms. / Mr. | |||||
| Order Form for Cosmetics | |||||
| Prices | |||||
| Item | Item nr: | Designation | Contents in ml | Amount ordered | |
| Creme Lasalè | 1 | Day and night cream for sensitive | 50 | ________ | |
| skin | |||||
| Creme Aurasalè | 12 | Day and night cream for dry skin | 50 | ________ | |
| Creme Babysan | 13 | Skin care cream for babies | 50 | ________ | |
| Creme Sansalè | 14 | Skin care cream for the face and hands, to replace lost | 50 | ________ | |
| oils | |||||
| Eruption | 15 | After-shave | 50 | ________ | |
| Rosario | 16 | After-shave | 50 | ________ | |
| Eau Cristall | 17 | Perfume, Eau de toilette | 50 | ________ | |
| Parfum individuell | 18 | Please contact us so that you can choose an eau de toilette appropriate for you following your astrological signs | 50 | ________ | |
| Confirmation: | Date: | Signature:
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