Kleopatra's
HairWeaving and Permanent Make-up
We Specialize in Beautifying women & men around the world.
Date: ____/____/____
Name: _______________________________________________________
Address: ______________________________________________________
City, State: ____________________________________________________
Zip: ______________
Telephone: ____-______-______
E-mail: _______________________________________________________
______________________________________________________________
Write any additional information:______________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
e-mail:
If you are submitting by regular mail just print this form, fill it in with
your information
and send along with applicable entry fee $1.00 (USC).
Mail To:
Kleopatra Inc.
Kleopatra's Beauty Sweepstakes
3896 Dewey Avenue Suite # 5309
Rochester, N.Y. 14616