Galina Zigmond Cosmetics: Order Form

You can order the products featured on this site via mail. If there is demand for direct e-mail ordering, tell us, and we'll try to add that feature in the future.

Please indicate the quantity for each item, and send the form and a check or money order for the total amount to the address indicated below. 
    
_____ 1 oz. "Silva" Skin cream @ $46 each _____

_____ 1 oz. "Uni" Skin cream @ $46 each _____

_____ 6 oz. cleansing skin toner @ $35 each _____


Check skin type: 

      
Normal 	_____   Dry 	_____   Oily	_____

    

Total Enclosed:		$_____


Name____________________________________________

Address__________________________________________________________

Daytime Phone___________________Fax_____________________

E-Mail___________________


Send check or money order to:

Galina Zigmond Inc.
350 East 52nd Street, Suite 11F
New York, NY  10022
212-750-1272