Fantasia's Print Friendly Order Form

Copy and print out form. Please send, FAX, or email the copy to us along with your order form. Thanks

NAME______________________________________________________________

ADDRESS__________________________________________________________

___________________________________________________________________

___________________________________________________________________

PHONE (optional)___________________________________________________

EMAIL_____________________________________________________________

SHIP TO:
(if different than above)_______________________________________________

___________________________________________________________________

___________________________________________________________________


Garment__________________________________________________________

Due Date needed by_________________________________________________

Fabric or Color Choices______________________________________________

Edging Color_______________________________________________________

Trims (optional)_____________________________________________________

Grommet/Clasp Color________________________________________________

Please keep my information, securely, on file
Measurements_____Y/N_________Credit Card_______Y/N

Price (please call or email for final quote
including options)____________________________Final Price_____________

Shipping (please call or email for price)_________Shipping______________

Total Cost_________________________________Total_________________


Payment:

By Credit Card
Credit Card #_____________________________________________________
expiration date___/___/___

Signature________________________________________________________

Name on Card____________________________________________________

Card Member agrees to pay total in accordance with agreement governing use of such card.

Check:
By Money Order or Check Included (please call to verify being on record)
Check Number______ Amount_____


Mail to:

Fantasia
PO Box 611
McGraw, NY 13101

FAX 24/7: (607) 836-6799

Or Call: (607)836-7523

Even copy and email to: fantasia@clarityconnect.com Please put in the subject - "Web Order"

Thank you for your order!
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Last update 1/18/03