To receive printed material by postal mail, please complete the following form.

* Fields Are Required

First name*
Last name*
Email *
Title
Company
Profile*	Please Select Individual Investor Equity Analyst (sell-side) Equity Analyst (buy-side) Fixed Income Analyst (sell-side) Fixed Income Analyst (buy-side) Portfolio Manager (Equity) Portfolio Manager (Fixed Income) Broker/Investment Advisor Banker/Financing Source Press/Media Consultant Employee Customer/Client Library/Reference Student Other
Address*
City*
State/province*
Postal code*
Country*
Shipment method	Postal Mail DHL Federal Express Federal Express Priority UPS Next Day Air
Account number	Required for express delivery
Telephone	Home Fax Work Extension
Type in number*
	This helps Bare Escentuals, Inc. prevent automated submissions.