| Name:
|
Order
Date:
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| Address: | City: |
| State:
Zip: |
Email
address: |
| Day Phone:
(
) |
Evening Phone: ( ) |
| *Date Needed: |
| Order Number: (if applicable) |
Item Description: (describe item and state any specifications here) |
Price (EA) | Quantity: | Total: |
| #
|
|
$
|
|
$
|
| # |
$ |
|
$ |
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| # |
$ |
$ |
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| Subtotal: | $ |
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| Shipping Rates: Standard Delivery: USPS Priority Mail 2-4 business days Clothing Items: $20.00 Millinery: $10.00 Accessories: $5.00 Overnight/Next Day: 1-2 Business days Flat
rate $35.00
Overseas:$Email
for estimate
|
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| Shipping:
(see left) |
$ |
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| Order total: | $ |
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| Pay
with your credit card |
Email Me an Invoice (*Be sure to specify which items you are ordering when using this option) |
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| For Ladies Special
Orders only: To ensure a custom fit, please fill out this form using a flexible measuring tape. NOTE: Please measure over any underpinnings or undergarments you plan to wear. |
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