Order Form
Please fill out the following order form and let us know whether you are a "New" or "Existing" customer. If you are an existing customer with your credit card information on file, your order will be processed immediately. If you are a new customer (for security purposes) an IBS associate will call you back to secure your credit card information over the phone.
Thank you for your business. We appreciate you!

Supply Order Form  

Today's Date:		Your e-mail address:
Account Name:
Address:
City / State / Zip:
New Customer:	IBS Representative will call	Existing Customer:	Process order immediately (Place X in one box)
Contact Instructions:

Quantity	Description	Price
1.	Aluminum Oxide Crystal Pro Pack	$395.00
2.	Sodium Bicarbonate Crystal Pro Pack	$395.00
	Check Monthly Special
3.	Carton of Aluminum Oxide (4 each)	$169.00
4.	Carton of Sodium Bicarbonate (4 each)	$169.00
5.	Case of Aluminum Oxide (8 each)	$295.00
6.	Case of Sodium Bicarbonate  (8 each)	$295.00
	Hand Pieces
7.	Metal Hand Piece	$425.00
8.	50-pk of Plastic Tips (for Metal Handpieces)	$75.00
9.	Pyrex Handpiece (4 each)	$175.00
	Filters, Tubing, O’Rings
10.	Hand Piece Tubing	$20.00
11.	Small Filters  (5 each) (All units)	$35.00
12.	Large Filters  (4 each) (All units)	$45.00
13.	Extra Large O’Ring  (PSS, PSS Turbo, PSR, Skin Science)	$5.95
14.	Large O’Ring  (PSS, PSS Turbo, PSR, Skin Science)	$4.95
	Eye Shields, Masks
15.	Disposable Eye Shields (50 pair / box) - Derm-Aid®	$55.00
16.	Disposable Eye Shields (50 pair / box) - IPL-Aid™	$65.00
17.	Disposable Eye Shields (24 pair / box) - Laser-Aid®	$75.00
	Skin Care
18.	Vitiman C - 1 oz.	$45.00
19.	Cooling Herbal - Back Bar - 1 qt	$90.00
20.	Cooling Herbal - 2 oz	$25.00
21.	Foam Facial Cleanser 7oz.	$13.75
22.	GLY + 17  Gly+ Out Patient Peel- 12 pads          New	$33.00
23.	GLY+30    30% unbuffered Glycolic- 20 pads    New	$33.00
24.	GLY+40    40% unbuffered Glycolic- 20 pads    New	$38.50
25.	GLY+50    50% unbuffered Glycolic- 20 pads    New	$44.00
26.	GLY+60    60% unbuffered Glycolic- 20 pads    New	$49.50
27.	GLY+70    70% unbuffered Glycolic- 20 pads    New	$55.00
28.	Glycolic Acid – Nu-Peel 10% (4 oz)	$50.00
29.	Glycolic Acid – 20% (4 oz)  Gel	$36.00
30.	Glycolic Acid – 33% (4 oz)   Gel	$45.00
31.	Salicylic Acid – 7% (4 oz)  Gel	$40.00
32.	Natural Skin Lightening Cream  Airless pump- 1.7oz.  6/case	$34.00
	Brochures
33.	Patient Brochures – 100 Pack	$40.00

 

 

International Business Solutions, Inc
475 E South Street #109
Collierville, TN 38017

Toll Free (877) 337-6273
Fax (901) 861-4765
Int'l (901) 861-7144

E-mail: customercare@ibstn.com