This order form is for business-to-business wholesale orders and re-orders only..  
If you are a consumer wanting to know where to purchase the products, go to the 

Consumer Where to Buy page.

Good Hair Days On-Line Order Form
* Please Fill in All Required Fields
* Your Name
* Your Company Name
* Tax ID/Resale Number
* Have you ordered from Good Hair Days before? Yes   No 
* Payment Terms:  MasterCard            Visa       COD  Net 30    
If credit card is on file with us, please verify the following:

Last four digits of credit card number

 

Expiration date MM/YY

 

3-digit security code 

If this is a first time order with your credit card, 

please use our credit card fax form.

* Type of Business

Beauty Supply Store

Salon

Distributor 

Bridal

Other

*  If you selected "Other" as your type of business, please fill in this line, or type NA if Not Applicable.

* Ship To Address
-  Address Line 2
*  Is this shipping address considered: Residential          Commercial  
* City
* State
* Country
* Zip/Postal Code
* Phone Number
-  Fax Number
*  Email Address
Important! Type carefully and check accuracy of email address.

Our minimum merchandise order is $75.00, effective October 1, 2005

Order  List
# Qty. Unit of Measure Item # Color Brief Description Cost Per Unit
1

Ea.
 Doz.
 Gross
 Display

2

Ea.
 Doz.
 Gross
 Display

3

Ea.
 Doz.
 Gross
 Display

4

Ea.
 Doz.
 Gross
 Display

5

Ea.
 Doz.
 Gross
 Display

6

Ea.
 Doz.
 Gross
 Display

7

Ea.
 Doz.
 Gross
 Display

8

Ea.
 Doz.
 Gross
 Display

9

Ea.
 Doz.
 Gross
 Display

10

Ea.
 Doz.
 Gross
 Display

Sub-Total
Ship via:  UPS   GPM   EMS
If you have special shipping instructions, ship date requests or comments,
please enter them below

 

 

Would you like a sample?

 Yes
 No
If you are requesting a sample, please list item numbers below:
1 2 3
4 5 6


Please only hit the submit button once!  You will know your form was submitted 
correctly when you see the confirmation screen appear.  Thank you!

If you have any problems, please send us email at: info@goodhairdays.com

Good Hair Days®, Inc.

73 Water Street
Leominster, MA  01453-3218 USA

Toll Free:  1-888-445-5335

Telephone:  1-978-537-8915
Fax:  1-978-537-9426