DANCE VEIL ORDER FORM

DANCE VEIL:

I would like to order silk dance veil Purple 07 for $75.

SHIPPING:

I live in the United States and want Air Mail shipping (3-4 days) for $10.

I live in the United States and want Express Mail shipping (1-2 days) for $20.

I do not live in the United States and want International Mail shipping (4-6 days) for $26.

OTHER ACCESSORIES:

I do not want any additional accessories, my Order is complete.

I would also like the following accessories:

PAYMENT INFORMATION:

Name:              Telephone:

E-mail:             Repeat E-mail:

I will pay with a Visa or Master Card, the credit card information is below.

I will send a Check or Money Order.

I will pay with PayPal.

CREDIT CARD INFORMATION:

Name on Card:

Card Number:

Expiration Date:

Last 3-digits on Back:

CREDIT CARD BILLING ADDRESS:  (We ship to billing addresses only.)

Street/Number:

City/State/Country:

Zip/Postal Code:

I have the following questions/comments/requests:

Thank you for your order!  We will send you a confirmation e-mail soon.  Please refer to our FAQ page for our "Terms of Sale".