Long Island Skin Care Products Suffolk County Order Form

Announcements

Find out about our "special summer offer" if you book your breast augmentation surgery from May 1st, 2008 through August 31st, 2008.

Call the office at
631.689.1100
for more information and to reserve your seat!

Botox® and Filler Special
30% off your entire BOTOX® treatment And 20% off any filler treatment
Sept. 18th and Dec. 4th, 2008 from 8:00am through 8:00pm at the office. Call to make an appointment with
Mark D. Epstein, M.D.
631.689.1100

The Latest Technique in Liposuction
Click here for more information

To place an order for skin care products, choose one of the following options:

Phone: (631) 689-1100
Fax: (631) 689-1153
Online Order Form

To order products by fax or email, please fill out the form below.

Step 1: Customer Information

Your Name

Street Address

Address 2 (Suite or PO Box)

City

State

Zip Code

Phone 1

Fax

E-Mail Address

Step 2: Order Information

To place an order please fill out the form below.

Products:
	Kinerase
		Cream	1.4 oz	$72.00
		Lotion	2.8 oz	$117.00
	Vanicream
		Liquid Cleanser/Free & Clear	8.0 oz	$ 7.80
		Vanicream Cleansing Bar	3.9 oz	$ 3.50
		Vanicream Lite Lotion	8.0 oz	$11.00
		Vanicream Skin Cream	8.0 oz	$17.00
		Free & Clear Shampoo	8.0 oz	$10.50
		Free & Clear Conditioner	8.0 oz	$10.50
	NeoStrata
		Renewal Peel	Free consultation must be booked with Dr. Epstein first.
		Antibacterial Cleanser	6.0 oz	$22.00
		Daytime Skin Smoothing Cream - AHA SPF 15	1.75 oz	$29.00
		Eye Cream - PHA	0.5 oz	$25.50
		Facial Cleanser - PHA	6.0 oz	$21.00
		Hand and Nail Conditioning Cream - PHA	1.75 oz	$20.00
		Lip Conditioner - PHA, spf 15	0.14 oz	$ 6.00
		Lotion Plus	6 .7 oz	$27.50
		Skin Lightening Gel	1.4 oz	$27.00
	Obagi
		Action	2.0 oz	$35.00
		Blender	2.0 oz	$75.00
		Clear	2.0 oz	$80.00
		Conditioning Control Kit		$94.00
		Exfoderm	2.0 oz	$54.00
		Eyecream	0.5 oz	$40.00
		Foaming Gel	6.7 oz	$32.00
		Conditioning Travel Kit		$170.00
		Tolereen	2.0 oz	$44.00
		Toner	6.7 oz	$32.00
		Blue Peel	Free consultation must be booked with Dr. Epstein first.

Other:		(List other products)

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