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Online Secure Ordering Form

Please use the following form to place an order through our website.

Billing Information:
First Name:
Middle Name:
Last Name:
Address:
Address2:
City:
State/Province:
Zip Code:
Country:
Daytime Phone:
 Include your area code
Email:
Payment Method:
Card Number:
 no dashes please
Expiration Date:
 example: 0207
CCID:
 This is the last 3 or 4 digits on the back of your credit card
Gift Certificates:


($1.50 mailing fee will be added to your purchase)

SPECIAL INSTRUCTIONS FOR SPECIFYING YOUR GIFT AMOUNT...
If you would like to purchase a gift certificate for a specific dollar amount or service(s) please indicate in the message area. You may also include any greetings you would to send or specific instructions for the LaBella staffthat you would like to be added or done to your purchase.


Special Instructions:

  1. Please tell who you would like for us to send this gift to (We will add $1.50 to your order for postage & handling: Include the person's full name and full mailing address.
  2. If you are purchasing a different dollar amount or specific service(s) in the comment box below, please note that your online order total will be $0.00 until we create your order in-house. Your card will be billed for the amount or services you list in the comment box.
  3. If no address is provided below, we will mail your purchased gift certificate to the address given above.