Please either type your
information on this form
or you can print the blank form and manually fill it out.
Then either fax or mail it to us.
Our fax number is 954-306-8253
Our mailing address is:
Unique Image, Inc.,
1286 NE 30th Street #8, Ft. Lauderdale, FL 33334
You can call us Toll Free: 1- 877-234-6775 if you
have problems or questions.
Print this form to mail in your order!!
All of our
products, are backed by an unconditional 100% Satisfaction
Guarantee!
If you have any questions, suggestions or would like to share any
experiences with us,
please feel free to call, write or e-mail us at:
kathryn@uniqueimage.com
Policies, Disclaimers, Secure Server The information presented at
www.uniqueimage.net and
its affiliated sites is intended for educational purposes only. It
is not intended to replace the advice of your medical or alternative
health care practitioner.