CHI MACHINE ORDER FORM Thank You for your order. Be sure to put the best phone number to reach you at in case we need to contact you regarding your order.If your State and/or local governments enforce a tax then your normal taxes will be added to the $429.00 CHARGE. Name: Last Name: E-mail PHONE # BILLING ADRESS ...CITY ...STATE ...ZIP VISA MASTERCARD CARD# EXP DATE 3 DIGITS ON BACK OF CARD MAIL ADRESS IS SAME IF DIFFERENT MAIL ADRESS CITY STATE ZIP
IF YOU HAVE ANY QUESTIONS ON YOUR CHI MACHINE PURCHASE PLEASE CALL us at 509-892-5626. Thank You.