FREE Samples and Catalog - Form
For residents of the United States only.
Please fill in all information
Description
(select one)
I am an interested individual ... not in the beauty business.
Hair Stylist or Salon Owner
Cosmetology School Owner or Cosmetology Instructor
Other (describe below)
Email
First Name
Last Name
Phone #>
Send to >
My ... Home Work ... Address Below
Address-1
Address-2
Address-3
City
State
Zip Code
Optional Information ... Because I want to better understand more about our friends and customers, it will help me if you complete the information below. Thank you! ... Charlotte
When I write to you or Email you, how should I address you? Examples:
>> by your first name or >> more formally [Ms., Mrs., Mr., etc.] or >> by a nickname

Hello ... (fill in)
I am a ... Female Male
My age is ...
Where did you hear about us?
The Byrdie email
The Glamour Magazine
A mailing I received
Searching the Internet
Other Describe >
We welcome your comments, questions and suggestions!
Click on the Submit Button — and you have ordered your FREE Catalogs and Samples.
WARNING: If you click here ALL the information, including your name, address, etc. will be deleted. If you simply want to change a few items you checked, go back up to the area where you want to make the changes and just change that information instead of starting all over.
Information Links
* I'm Charlotte - The Webmaster "Voice"
Click Here
Money Back Guarantee and Return / Exchange Policy
Click Here
he Garland Drake Logo - Quality products, Education and Service since 1987.
GARLAND DRAKE
1001 West 17th Street, Suite S
Costa Mesa, CA 92627-4512 USA
1·800·426·9197
1·949·722·2277
(voice and text number)
© Copyright 2000-2016 by Charlotte Jayne Drake. All rights reserved. - www.GarlandDrake.com - Email Charlotte
eXTReMe Tracker