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Gift
of Hope
Donation Form
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Name: ___________________________________
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Address: _________________________________
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________________________________________
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City, ST, Zip ______________________________
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Phone: __________________________________
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Indicate your 1st and 2nd free gift product choice:
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1st: _____________________________________
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2nd: ____________________________________
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*we reserve the right to substitute another
product of equal value in the event your choice of product is
unavailable or is out of stock.
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$10.00
to $49.99 - Receive a Hydrating or Exfoliating Mask,
Facial Wash, Facial Cleanser, Sun block, Light Moisturizer,
Vitamin C Complex, Eye Repair Cream, Bleaching Gel, Bio
Firming Gel or Eye Makeup Remover or Exuviance Makeup
Foundation.
$50.00
or more - Receive a Revox Botox Alternative (designed to
help decrease the depth of lines and wrinkles caused by age
and repetitive facial expressions), Anti-Aging Renewal
Complex.
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Circle Skin Type and Areas of Concern:
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Skin types
Dry
Oily
Combination
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Skin Concerns
Sun Damage
Splotchy
Hyperpigmentation
Sensitive
Acne/Breakouts
Mature/Aging Skin
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Please indicate Donation Amount $____________
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Credit Card Number: _________________________ exp.
date: _________
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Check/Money Order Number: __________________
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Plano,TX 75075