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Invoice #:

-TS Tiara-
Order Form
Fax Your Completed Order Form To: (323) 650-1844

 Checks Payable To:
Tracy Silver
1161 Ogden Drive, Suite 308
Los Angeles, CA 90046
Name: Day Phone: Wedding Date:
Address:

 

 Evening Phone: Order Date:
Shipping Address:

 

    
 

I would like to order the following pieces:
Style # Price Deposit
(50% of total price)		 Check # Special Modifications (Please list any special modifications as per your conversation with Tracy by calling (323) 650-1844.)
 

 

        
 

 

        
Contract of Order:

I, __________________________________________________ am requesting style number(s)  ____________and ____________ at the total price of $____________ to be delivered four (4) weeks after payment has been confirmed.
Signature: ________________________________________________ Date: __________________________________
 
All rush orders (anything less than four weeks delivery) will be an additional $25.00.
Fax Your Completed Order Form To: (323) 650-1844