ORDER FORM- MUST PHONE, EMAIL or MAIL Order IN
CLICK FOR SIZES,
SHIPPING RATES
- MAIL ORDER FORM DATE___________ ITEMS ORDERED
- COLOR_______________
COLOR_______________
- FRENCH CUT________
FRENCH CUT_______
- BRAZIL CUT_________ BRAZIL
CUT_______
- "V" FRONT & BACK___ "V" FRONT &
BACK____
- RIO CUT____________
RIO CUT________
- BIKINI SUIT#__________
BIKINI SUIT #__________
- BOTTOM SIZES
- sm__med/sm__med__large__xl__ sm__med/sm__med__large__xl___
- BRA SIZES
- A__AB__B__BC__C__D__DD__ A__AB__B__BC__C__D__DD__
$________
-
- Swoop__Triangle__Rounded__ Swoop__Triangle__Rounded___ $
________
Padded____
Padded____
Shipping$________
HEIGHT____WEIGHT____ HEIGHT____WEIGHT___
Ca. Res. Tax $_______
- CONTEST DATE__________ TOTALS $________
NAME______________________________________________________________
ADDRESS______________________________________________APT.#_______
CITY____________________________________STATE______ZIP____________
- PHONE__________________________________COUNTRY_________________
- CREDIT CARD VISA____M/C____AMEX____DEBIT CARD____
__________/__________/__________/__________ EXPIRATION DATE____/____
- 3 Digit security number on back of card______
SIGNATURE___________________
- MAIL TO: JAGWARE OR CALL
1-800-248-5241
- 5428 JILSON WAY
1-916-714-6161
- ELK GROVE CA. 95757 up
dated APRIL 2010
- 3 digit security number Visa/MC EXCHANGES ONLY
(within 10 days) NO REFUNDS
4 digit security number Amex
-
A Division of Jagware
