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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: _______________________________________________________

No
Item no & Color
Size
Qty
Unit Price
Amount
           
           
           
           
           
           
Special instructions
Subtotal
 
Sales Tax (add 8.25% for California customer) 
 
Shipping (please check below) 
 
Total
 

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