Please print and use this form if you do not want or feel comfortable ordering online. You may use this for cash, check,credit or money orders. Please be advice that nothing will be shipped until payment has processed. Thank you
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Date (MM/DD/YY): ________________________
First Name: ________________________
Last Name: ________________________
Address: _____________________________________
City, State, Zip _____________________________________
Telephone: ________________________
Email: _____________________________________
Credit Card ( circle one) Visa MasterCard American Express Discover
Credit Card number: __________________________________
Credit Card Expiration: ___________________
CW Code: __________ (last 3 digit number on the back side of your card)
Signature: _____________________________________
~INVOICE~
Tammy Thomas
1025 Hazel Drive
Clayton, NC 27527
Fancyslingerie.com
919-337-8266
Ship To Account: ________________________________________
Address: ________________________________________
City: ________________________________________
State: _________
E-Mail: ________________________________________
Style # Color Description Qty Size Order Date
Be sure to print order form and submit with your order.
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