order

Bridal's Save the Day Kit

Order Form

Name:

Company:

Address:

City:

State:

Zip Code:

Email:

Phone:

()-

Fax:

()-

Order Quantity

at $39.95 ea.

Shipping

$8.95 per kit

In Oklahoma Add 8.375% Sales Tax:

Order Total

Payment Methods:

Credit Card:

Name on Credit Card:

Credit Card Type:

VISA Master Card

Credit Card Number:

Expiration Date:

Or mail check to: Carol Barber, 2525 NW. Expressway # 303, Oklahoma City, OK 73112

Name:
Company:
Address:
City:		State:		Zip Code:
Email:
Phone:	()-	Fax:	()-

Order Quantity	at $39.95 ea.
Shipping	$8.95 per kit
In Oklahoma Add 8.375% Sales Tax:
Order Total

Name on Credit Card:
Credit Card Type:	VISA Master Card
Credit Card Number:
Expiration Date: