Mail this form with your payment to: Lasting Lines, Inc. 9304 Forest Lane #N-270, Dallas, Tx. 75243

ITEM NO.	COLOR	PRICE	QUANTITY	TOTAL
EYEBROW KITS
EB-O1	Ash Taupe	$59.95	________	______
EB-O2	Medium Brown	$59.95	________	______
EB-O3	Dark Brown	$59.95	________	______
EB-O4	Black-Brown	$59.95	________	______
LIP LINER (or Full Lips) KITS
LP-O1	Luscious Red	$59.95	________	______
LP-O2	Mystic Mauve	$59.95	________	______
LP-O3	TawnyOrange	$59.95	________	______
LP-O4	Cocoa Brown	$59.95	________	______
BEAUTY MARK KITS
BM-01	Dark Brown	$59.95	________	______
BM-02	Black	$59.95	________	______
BODY ART KIT
BA-O1	Red,Yellow & Blue	$99.95	________	______
Sales Tax (Texas Residents add 8.25%)				______
Shipping & Handling Fee				$ 9.95
TOTAL ENCLOSED				$__________