Colognes Order Form

Lily's Apothecary, Inc. Order Form
6 Main Street Extension, Plymouth, MA 02360
Phone: (508) 747-SKIN (7546) - Fax: (508) 747-9310

The Men's Shop
* To place an order please call in your order to
508-747-SKIN (7546)
or print this form and fill out the appropriate information.
Then fax this form to 508-747-9310.
Visa and MasterCard accepted. Checks may be mailed to Lily's Apothecary.

Click here to return to description page.

PRODUCT ID	DESCRIPTION	PRICE	QUANTITY	TOTAL
Grigio10010	Grigio Perla Cologne (1.7 oz.) - For "the Man with a sense of sport", buy this masculine and "sexy scent" from Milan, Italy. Rarely has a Men's fragrance appealed so widely to so many Men. Most all Men smell wonderful when they wear this signature scent and most all Women love to smell it. Consider the Grigio Perla Shampoo & Shower Gel to layer with this ultra-sexy scent.	43.50
Grigio10020	Grigio Perla Cologne (3.3 oz.) - Once you or your Man has tried the smaller size of the Grigio Perla, the larger size of this masculine and sexy scent is mor cost-effective. Almost twice the ounces for an extra $18.00, vs. paying twice the price (which would be $87.00). Consider the Grigio Perla Shampoo & Shower Gel to layer with this ultra-sexy scent.	61.50
Grigio10030	Grigio Perla Shampoo & Shower Gel (10 oz.) - The Shower Gel is delicately scented with the Grigio Perla Cologne scent. The luxurious lather from the Shower Gel thoroughly cleanses both the skin and hair, leaving them soft and scented. An ideal gift for the Man, "always in a hurry," as the 2-on-1 Shampoo and Shower Gel saves the time of "self-care" and gets you (or them) out the door that much quicker!	25.00
Borlind40020	Annemarie Börlind LL Gel Toner (5.07 oz.) - Experience has revealed that Men who use the LL Gel Toner after shaving, have found it to be very soothing and refreshing. This Toner contains Seaweed Extract, Rose Water, St. John's Wort, Chamomile, Calendula and Witch Hazel.	40.00
Borlind20060	Annemarie Börlind Q10 Face Moisturizer - A protective moisturizer with a UV filter. Contains Cucumber and Sorbitol Hydrate to nourish the skin. Provides intensive protection against free radical damage. Ideal for the Man who spends time outdoors and is exposed to the environment.	30.00
Diego80010	Diego Dalla Palma Eyebrow Fixer - A special kit consisting of a natural spray and a grooming brush/comb to sculpt, polish and perfect the eyebrows. Ideal for the Man with "unruly" eyebrows.	22.50
Tweezer10050	Tweezerman Men's Kit - Includes a slant tweezerette, nose & ear scissors, a nail brush, a power nail clip, a power hangnail clip, a dolphin nail file and a toenail clip. An ideal Gift for both Men & Women.	33.00
Ahava60010	Ahava from Israel Men's Gift Set - For the Man who appreciates the "finer things in life", this Men's Gift Set includes an Ahava Shampoo (8.5 oz.), Shower Gel (8.5 oz.) & Face Moisturizer (2.5 oz.). Enriched with Minerals from the Dead Sea, including Calcium, Potassium and Magnesium.	46.50
Ahava50075	Ahava Dermud Body Cream - Soothe and rejuvenate dry skin with this intensive nourishing body cream. Clinically proven to visibly heal rough and cracked skin. Delivers a long lasting hydrating effect, leaving the skin smooth, supple and healthy looking.	31.50
Botot90010	Botot Toothpaste - Try this natural French toothpaste which tastes so good! Invented in 1755 by Dr. Julien Botot for Louis XV of France, this toothpaste contains sorbitol (derived from berries), silica (horsetail plant), sodium methylparaben (a safe preservative, effective against water borne bacteria and anti-bacterial), warming anise and ginger (which brings extra blood to the gums and adds the freshest flavor). You'll want to keep brushing your teeth over and over.	8.50
Borlind20060	Ammemarie Borlind Q10 Moisturizer the perfect moisturizer for Men, designed specifically for those individuals who do not want to take more than one step in their skin care. Contains cucumber extract, the anti-aging co-enzyme Q10 and Vitamin E, ingredients to prevent premature aging, while nourishing the skin. This moisturizer has little to no smell and is the perfect after-shave moisturizer.	30.00

5% Massachusetts Sales Tax applies to In-State shipping only.
Shipping Out-Of-State is Tax Free.

Shipping Charges
(2 day mail):

Up to 2lbs. - $4.60

Please Print

I hereby authorize Lily's Apothecary to debit my credit card in the amount of _____________ for the items specified above.

I fully understand that I am completely responsible for all phone and/or fax charges.

No Return Sales Policy. All Sales Final.

MasterCard or Visa (circle one)

Total:

Shipping Charge:

5% MA
Sales Tax:
(In-State Only)

Grand Total:

Credit Card Number:
_______________________________

Expiration Date:
_______________________________

Signature of Cardholder:
_______________________________

Phone Number:
_______________________________

  Ship to / Mail to:
  ______________________________

  ______________________________

  ______________________________

  ______________________________

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No Return Sales Policy.
All Sales Final.

Lily's is located inside the Historic Plymouth Post Office Building.
6 Main Street Extension
Plymouth, MA 02360
Phone: 508-747-SKIN(7546)
Fax: 508-747-9310
lily@lilysapothecary.com