INSTA-shop

Name *

First Name

Last Name

Phone

Country

(###)

###

####

How Do You Want Your Items?

Priority Mail | USPS | Flat Rate of $7.00 per item

Ship

In-store pick-up

Address [if shipping]

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Authorization Acknowledgment *

By checking this box, you give COULEUR + BLINDÉ permission to charge your credit card. By checking this box, you also certify that you are the authorized user of this credit card and that you will not dispute any payment with the credit card company; so long as the transaction corresponds to the orders placed.

check for yes