Online Order Form Online Order Forms (UPDATED) First Name*Last Name*Spa Name*Phone Number*Email Address* Product Code Size/Qty Price QuantityCLEANSERS PROFESSIONALGlycolic Cleanser – P Quantity Price: $ 51.00 CAD Quantity BP110 355ml/12ozGentle Cream Cleanser – P Quantity Price: $ 45.00 CAD Quantity BP111 355ml/12ozSalicylic Cleanser – P Quantity Price: $ 40.50 CAD Quantity BP112 355ml/12ozCalming Cleanser – P Quantity Price: $ 40.50 CAD Quantity BP113 355ml/12ozMineral Cream Exfoliating Cleanser – P Quantity Price: $ 40.00 CAD Quantity BP114 355ml/12ozCleanser for Normal Skin – P Quantity Price: $ 37.50 CAD Quantity BP116 355ml/12ozNutrient Enriched Facial & Body Oil – P Quantity Price: $ 60.00 CAD Quantity BP139 237ml/8ozCLEANSERS RETAILGlycolic Cleanser – R Quantity Price: $ 26.00 CAD Quantity BR10 120ml/4ozGentle Cream Cleanser – R Quantity Price: $ 23.00 CAD Quantity BR11 120ml/4ozSalicylic Cleanser – R Quantity Price: $ 21.50 CAD Quantity BR12 120ml/4ozCalming Cleanser – R Quantity Price: $ 21.50 CAD Quantity BR13 120ml/4ozMineral Cream Exfoliating Cleanser – R Quantity Price: $ 28.00 CAD Quantity BR14 120ml/4ozCleanser for Normal Skin – R Quantity Price: $ 19.25 CAD Quantity BR16 120ml/4ozNutrient Enriched Facial & Body Oil – R Quantity Price: $ 22.00 CAD Quantity BR39 50ml/1.7ozTONERS PROFESSIONALPurifying Mist – P Quantity Price: $ 38.00 CAD Quantity BP130 350ml/12ozRefreshing Toner – P Quantity Price: $ 34.50 CAD Quantity BP136 237ml/8ozTONERS RETAILPurifying Mist – R Quantity Price: $ 18.00 CAD Quantity BP30 120ml/4ozRefreshing Toner – R Quantity Price: $ 21.50 CAD Quantity BP36 120ml/4ozEXFOLIANTS PROFESSIONALFruit Enzyme Scrub – P Quantity Price: $ 31.50 CAD Quantity BP117 237ml/8ozCucumber Scrub – P Quantity Price: $ 30.00 CAD Quantity BP118 237ml/8ozGlycolic 30% Exfoliator – P Quantity Price: $ 70.50 CAD Quantity BP190 120ml/4ozMandelic 30% Exfoliator – P Quantity Price: $ 110.00 CAD Quantity BP192 120ml/4ozLactic 35% Exfoliator – P Quantity Price: $ 68.00 CAD Quantity BP194 120ml/4ozEXFOLIANTS PROFESSIONALFruit Enzyme Scrub – R Quantity Price: $ 20.00 CAD Quantity BP17 120ml/4ozCucumber Scrub – R Quantity Price: $ 18.50 CAD Quantity BP18 120ml/4ozMandelic 5% Toner Pads – R Quantity Price: $ 24.50 CAD Quantity BP37 50 padsSERUMS PROFESSIONALSalicylic-Glycolic Gel – P Quantity Price: $ 36.00 CAD Quantity BP122 120ml/4ozCalm and Clear – P Quantity Price: $ 36.00 CAD Quantity BP123 120ml/4ozClear Complexion – P Quantity Price: $ 36.50 CAD Quantity BP126 120ml/4ozVitamin A + Antioxidant Complex – P Quantity Price: $ 57.00 CAD Quantity BP170 120ml/4ozPure Hydration Serum – P Quantity Price: $ 77.75 CAD Quantity BP172 120ml/4ozBrightening Renewal Complex – P Quantity Price: $ 133.00 CAD Quantity BP183 120ml/4ozTopical Calcium Capsules – P Quantity Price: $ 19.50 CAD Quantity BP184 24 CapsMandelic Acid Serum 15% – P Quantity Price: $ 94.50 CAD Quantity BP185 120ml/4ozLine Reducing Complex – P Quantity Price: $ 75.00 CAD Quantity BP186 120ml/4ozMandelic Acid Serum 8% – P Quantity Price: $ 84.00 CAD Quantity BP188 120ml/4ozSERUMS RETAILSalicylic-Glycolic Gel – R Quantity Price: $ 24.00 CAD Quantity BR22 50ml/1.7ozCalm and Clear – R Quantity Price: $ 24.00 CAD Quantity BR23 50ml/1.7ozClear Complexion – R Quantity Price: $ 24.00 CAD Quantity BR26 50ml/1.7ozComedone Control – R Quantity Price: $ 24.00 CAD Quantity BR28 50ml/1.7ozVitamin A + Antioxidant Complex – R Quantity Price: $ 24.00 CAD Quantity BR70 30ml/1ozPure Hydration Serum – R Quantity Price: $ 31.25 CAD Quantity BR72 30ml/1ozCollagen Revival Serum – R Quantity Price: $ 48.50 CAD Quantity BR74 30ml/1ozVitamin C + Calcium Complex – R Quantity Price: $ 36.00 CAD Quantity BR80 30ml/1ozBrightening Renewal Complex – R Quantity Price: $ 46.50 CAD Quantity BR83 30ml/1ozMandelic Acid Serum 15% – R Quantity Price: $ 35.50 CAD Quantity BR85 30ml/1ozLine Reducing Complex – R Quantity Price: $ 30.00 CAD Quantity BR86 30ml/1ozMandelic Acid Serum 8% – R Quantity Price: $ 31.50 CAD Quantity BR88 30ml/1ozEYE PRODUCTS PROFESSIONALIntense Eye Moisturizing Cream – P Quantity Price: $ 52.50 CAD Quantity BP143 120ml/4ozYouthful Eyes Peptide Cream – P Quantity Price: $ 67.50 CAD Quantity BP168 120ml/4ozEYE PRODUCTS RETAILIntense Eye Moisturizing Cream – P Quantity Price: $ 22.50 CAD Quantity BR43 30ml/1ozYouthful Eyes Peptide Cream – R Quantity Price: $ 29.00 CAD Quantity BR68 30ml/1ozMOISTURIZERS PROFESSIONALMoisture Complex – P Quantity Price: $ 52.50 CAD Quantity TBP142 237ml/8ozUltra Moisture Renewal – P Quantity Price: $ 54.00 CAD Quantity TBP142 120ml/4ozBio-Replenish A-C-E – P Quantity Price: $ 106.50 CAD Quantity TBP176 120ml/4ozBio-Essence Night Calcium Complex Quantity Price: $ 52.50 CAD Quantity TBP182 120ml/4ozMOISTURIZERS RETAILSkin Relief – R Quantity Price: $ 26.50 CAD Quantity BR32 50ml/1.7ozMoisture Complex – R Quantity Price: $ 24.00 CAD Quantity BR40 50ml/1.7ozUltra Moisture Renewal – R Quantity Price: $ 23.50 CAD Quantity BR42 50ml/1.7ozMoisturizing Oil Free Gel – R Quantity Price: $ 24.00 CAD Quantity BR47 50ml/1.7ozBio-Replenish A-C-E – R Quantity Price: $ 42.25 CAD Quantity BR76 30ml/1ozBio-Essence Night Calcium Complex – R Quantity Price: $ 22.50 CAD Quantity BR82 30ml/1ozRestorative Balm Airless Jar – R Quantity Price: $ 34.75 CAD Quantity BR87 60ml/2ozSUN PROTECTION PROFESSIONALSkin Defense SPF35 – P Quantity Price: $ 56.00 CAD Quantity BP150 237ml/8ozTinted Mineral SPF 35 Light – P Quantity Price: $ 60.75 CAD Quantity BP151 120ml/4ozTinted Mineral SPF 35 Medium – P Quantity Price: $ 60.75 CAD Quantity BP152 120ml/4ozTinted Mineral SPF 35 Tan – P Quantity Price: $ 60.75 CAD Quantity BP153 120ml/4ozTinted Mineral SPF 35 Golden – P Quantity Price: $ 60.75 CAD Quantity BP155 120ml/4ozPure Mineral SPF30 – P Quantity Price: $ 67.00 CAD Quantity BP156 240ml/8ozSUN PROTECTION RETAILSkin Defense SPF35 – R Quantity Price: $ 23.75 CAD Quantity BR50 50ml/1.7ozSkin Defense SPF35 – R Quantity Price: $ 41.00 CAD Quantity BR54 120ml/4ozPure Mineral SPF30 – R Quantity Price: $ 26.50 CAD Quantity BR56 50ml/1.7ozPure Mineral SPF30 – R Quantity Price: $ 48.00 CAD Quantity BR57 120ml/4ozTinted Mineral SPF 35 Light – R Quantity Price: $ 34.50 CAD Quantity BR51 50ml/1.7ozTinted Mineral SPF 35 Medium – R Quantity Price: $ 34.50 CAD Quantity BR52 50ml/1.7ozTinted Mineral SPF 35 Tan – R Quantity Price: $ 34.50 CAD Quantity BR53 50ml/1.7ozTinted Mineral SPF 35 Golden – R Quantity Price: $ 34.50 CAD Quantity BR55 50ml/1.7ozTREATMENT MASKS PROFESSIONALGreen Tea/Clay Poultice – P Quantity Price: $ 70.50 CAD Quantity BP125 237ml/8ozSoftening Repair Mask – P Quantity Price: $ 52.50 CAD Quantity BP160 237ml/8ozMint Mask – P Quantity Price: $ 52.50 CAD Quantity BP161 237ml/8ozHydrating Massage Mask – P Quantity Price: $ 38.50 CAD Quantity BP162 237ml/8ozSeaweed Mask – P Quantity Price: $ 69.50 CAD Quantity BP163 237ml/8ozPumpkin Enzyme Mask – P Quantity Price: $ 69.50 CAD Quantity BP164 237ml/8ozPomagranate Papaya Enzyme – P Quantity Price: $ 60.00 CAD Quantity BP165 120ml/4ozPineapple Mango Enzyme Mask – P Quantity Price: $ 60.00 CAD Quantity BP167 120ml /4ozTREATMENT MASKS RETAILGreen Tea/Clay Poultice – R Quantity Price: $ 31.50 CAD Quantity BR25 60ml /2ozHydrating Massage Mask – R Quantity Price: $ 24.00 CAD Quantity BR62 120ml /4ozGreen Tea/Clay Poultice – R Quantity Price: $ 27.00 CAD Quantity BR66 60ml /2ozBODY PROFESSIONALPost Waxing Lotion – P Quantity Price: $ 33.50 CAD Quantity BP134 120ml/4ozGlycolic 20% Skin Cream – P Quantity Price: $ 33.00 CAD Quantity BP144 237ml/8ozBODY RETAILNaturally Clean Body Wash – R Quantity Price: $ 28.00 CAD Quantity BR15 355ml/12ozPost Waxing Lotion – R Quantity Price: $ 20.00 CAD Quantity BR34 50ml/1.7ozNaturally Soft Body Lotion – R Quantity Price: $ 28.50 CAD Quantity BR41 355ml/12ozGlycolic 20% Skin Cream – R Quantity Price: $ 23.00 CAD Quantity BR44 120ml/4oz DERMAPLANING SUPPLIES PROFESSIONALSterile Stainless Steel Blades (10) – P Quantity Price: $ 13.00 CAD Quantity DERM001 (10)Stainless Steel Handle – P Quantity Price: $ 22.00 CAD Quantity DERM002Blade Remover – P Quantity Price: $ 8.00 CAD Quantity DERM003ACNE CONTROL KITS – RETAILNormal/Oily Skin – R Quantity Price: $ 37.00 CAD Quantity BRK213Normal/Oily Skin – R Quantity Price: $ 37.00 CAD Quantity BRK212Check Order* I have fully reviewed my order and confirm that it is correct. I will also be submitting an online order for:* Eve Taylor TheraGenesis No Additional Order Shipping I have opted out of the $5.50 signature required fee Policy* I have read the Shipping and Return Policy below Total $ 0.00 CAD Δ
