Please print this order form, fill out the information and mail with your Money Order, Certified Check, Personal or Business
Check payable to:
Cosette's Closet
PH: 949-495 4800(CA residence)
Toll Free: (877) 267- 3883 (Outside CA)
Fax: 949-916-2285 |
Please submit
a separate order form if additional
items needed.
All merchandise shipping is held until personal or business checks have cleared. |
Item
Name or #:_______________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Item
Name or #:________________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Item
Name or #:________________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Shipping
amount & Additonal Comments in applicable:
|
Total
Amount enclosed: (Please include shipping)
$ |
Ship to: Mr. Mrs. Ms Miss:
|
ADDRESS:
|
City: |
STATE: |
ZIP: |
Credit Card
Information: Check 1
___Visa, ___M/C, ___Amex, ___Discover |
Account #:
|
Exp.Date:
/
|
| I authorize this order
to be charged to my account by my signature. |
Name on
Card: (Signature)
|
If
we need to
contact you.... |
Telephone:
|
Fax:
|
e/mail:
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