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RETAIL ORDER FORM
Fax to: 408-971-6335 Mail to: DEVIANT P.O. Box 720967 San Jose, CA 95172 For questions or information call: 1-888-DEVIANT or 408-971-6366 |
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Personal Information marked with an asterisk [ * ] is REQUIRED
to place your order.
Your personal information is confidential and is NEVER shared or sold to
third parties. |
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*Name |
Date |
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*Phone |
Fax |
Email |
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*Address |
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Preferred method of shipping: |
[ ]FEDEX GROUND - OUR STANDARD SHIPPING METHOD
(other methods may have additional charges) [
]FedExExpress [ ] UPS
[ ]U.S. Mail
[ ]Other: |
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How did you hear about Deviant? |
Search Engine:______________
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Linked from:____________
__ ___Print article in:____________
TV show:____________
Advertisement in:____________
Package label at this store:______________________________ [ ]Promo Flyer [ ]Friend [ ]Reorder Other:___________________ |
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[ ]Visa [ ]MC *Credit Card Number: |
*Expiration Date: |
*Billing Steet Address # |
*Billing Zip Code: |
*Signature: |
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STARTER KITS™ |
LIQUID LATEX: one 8oz. (236ml) jar each of Back and Red STARDUST: one 1/4oz. (7g) jar each of Gold and Silver APPLICATORS: one foam roller brush applicator, two 1" foam applicator brushes, one Stardust foam applicator, two dust masks, an instruction manual. |
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RAINBOW KITS |
LIQUID LATEX: one 8oz. (236ml) jar each of Red, Orange , Yellow,
Green, Blue, Purple POLISH: one 4oz. (118ml) bottle of Deviant Slick Polish APPLICATORS: one roller brush, two roller replacement brushes, six 1" foam brushes, an instruction manuel. |
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LIQUID LATEX ™ STANDARD |
BLACK |
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| PURPLE |
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| BLUE |
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| RED |
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| WHITE |
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| YELLOW |
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| GREEN |
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| ORANGE |
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| PINK |
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| FLESH |
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| TAN |
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| CHOCOLATE |
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| CLEAR |
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LIQUID LATEX ™ FLUORESCENT |
Fluorescent BLUE |
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| Fluorescent GREEN |
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| Fluorescent ORANGE |
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| Fluorescent PINK |
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| Fluorescent PURPLE |
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| Fluorescent YELLOW |
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GOLD | Metallic cosmetic finishing powder |
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| SILVER | Metallic cosmetic finishing powder |
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| BLUE | Pearlescent cosmetic finishing powder |
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| GREEN | Pearlescent cosmetic finishing powder |
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| RED | Pearlescent cosmetic finishing powder |
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| PURPLE | Pearlescent cosmetic finishing powder |
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| BLACK | Pearlescent cosmetic finishing powder |
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SLICK POLISH ™ |
The best possible formulation of water-based silicone poish for rubber,
vinyl and latex surfaces. Also works on many other surfaces and applications in the home or on vehicles! |
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BRUSHES |
Basic Applicator pack | Contains two 1” foam brushes, one 2” foam brush, -one 3” roller brush |
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| Deluxe Applicator pack | Contains two 1” foam brushes, -two 1” brush replacement tips, -two 2” foam brushes, one 3” roller brush, one 3” roller replacement, one Stardust duster Brush |
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| 1" Foam Brush Applicators |
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| 2" Foam Brush Applicators |
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| Stardust Applicator Brush |
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| 3" Foam Roller Brush Applicators |
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| 2 pack Foam Roller Brush Refills |
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VINYL FASHION TAPE™ |
Opaque Black | Wrap-on Vinyl Clothing |
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| Opaque Red | Wrap-on Vinyl Clothing |
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| Translucent Cobalt Blue | Wrap-on Vinyl Clothing |
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LATEX SHEETING |
Pitch Black | 42" Width x .014" Thickness |
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| Coral Red | 42" Width x .014" Thickness |
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| Natural Clear (Amber) | 42" Width x .014" Thickness |
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OTHER ITEMS |
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Notes: |
SUB TOTAL:
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California Residents Only Add 8.25% Sales Tax:
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Deduct Any Applicable Discounts:
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Shipping & Handling:
Confirmation by Deviant required before payment is made |
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GRAND TOTAL:
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