www.HelpMySkin.com

Mail or Fax in your order
Print out the following order form and either: 		Option 1:   Fax it to:
630.585.9667

Option 2: 		 
Mail it to:
Duo Studios, Inc.
2623 Bull Run Dr.
Aurora, IL 60503
     Step 1: Contact Information
About you:
 

First Name:____________________________
 
Middle:_______________________________
 
Last Name:____________________________
 
Email:________________________________
Your Address:
 
Street (1):_____________________________
 
Street (2):_____________________________
 
Apt # ______
 
City:____________________
 
ZIP:_____________
 
State: __________

     Step 2: Select Your Products
________ The Body and Scalp Solution
• Skin-Cap 100ml Spray
• Skin-Cap Shampoo
• Skin-Cap 90 Capsules
     
________

The Total Body Solution
• Skin-Cap 100ml Spray
• Skin-Cap 50g Cream
• Skin-Cap 90 Capsules

  
     

     Step 3: Payment Information

Your Skin-Cap product package will be sent discreetly and will arrive within the next 3-5 business days. Please use as directed. You will receive a receipt, and confirmation letter with your order. You will also receive an e-receipt to your email address within 24hrs of submitting your order.
Payment Information
 
Credit Card Type:________________________
 
Credit Card #: __________________________
 
Expiration Date: __________________
Check or Money Order:
 
If you are paying with a check or money order please make the payment payable to
"", for a total of $87.00
How did you hear about us ?
 
_____________________________________________________________________
Authorization/Disclosure/Disclaimer:
Your Skin-Cap™ psoriasis treatment regimen has been carefully designed to offer maximum benefit in the safest and most time efficient manner possible. In order to get the most out of these products it is very important that you closely adhere to the treatment instructions as directed. Failure to adhere to the treatment instructions as noted on the side of the product bottles and or included documentation voids any guarantee, express of implied. The statements made on our website have not been evaluated by the U.S. Food and Drug Administration, these products are not intended to diagnose, cure or prevent any disease, if a condition persists please contact your physician. The information provided by this web site or this company is not a substitute for a face-to-face consultation with a dermatologist or with your physician, and should not be construed as individual medical advice. All users should always consult their physician prior to using products.

Please review the information you have entered for accuracy and completeness.



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