| Please
use this form for fax/ mail orders
Gowncity.com
Div of Brham California LLC.
269 Pacific
St.
Pomana , Ca 91789
USA
Tel:909-634-3333
Fax:775-295-0901
For faster service
print & Fax the form to 775-295-0901
SHIP
TO NAME:
____________________________________________________________
Street
address: ______________________________________________________________________________________________________
City:
____________________________________________________ State:
______________________ Zip: __________________
Daytime
Telephone: ___________________________ Email: ______________________________________________________
BILL
TO NAME:____________________________________________________________
Street
address: ______________________________________________________________________________________________________
City:
____________________________________________________ State:
______________________ Zip: ___________________
Daytime
Telephone: ___________________________ Email: _______________________________________________________
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Item no &
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Qty |
Unit Price |
Amount |
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| Special
instructions |
Subtotal |
|
| Sales
Tax (add 8.25% for California customer)
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| Shipping
(please check below) |
|
| Total |
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Payment
Method: O
Visa O MasterCard O Discover O Check
Credit
card #: _______________________________________________________
Expires: _______ /_______
Name
as it appears on card: __________________________________________________________
Signature:
______________________________________________ Date: ________________________
By
signing here I authorize Gowncity.com to charge the above
indicated total cost to my credit card. We will accept returns
of items found to be damaged or defective provided that
we are notified within 5 days of receipt of merchandise.
Domestic
Shipping Charges
For shipping within cont. US ground $12 or $20 for any number
of items.
For second day air please include -- $22
For next day air please include------- $38
International
Shipping
Since
it is difficult to verify credit cards we need the copy
of your credit card with driver licence and the order no
written on it. No exceptions we will not ship without it.
For Gowns The flat charges are $20 for one item and for
additional items $20. In biker jackets the flat charges
are $60 |