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MODIZTA ORDER SLIP
Please enter all information asked for in this form. We will process your order forms upon receipt. Thank you!
NAME:
ADDRESS:
E-MAIL ADDRESS:
Which clothing item/s would you like MODIZTA© to make for you? Do check as many:
Ladies' Blouse
Ladies' Skirt
Ladies' Dress
Ladies' Shorts
Ladies' Pants
Men's Shirt
Men's Pants
Men's Shorts
Children's Clothes
Prom Gown
Wedding Gown
Whole Wedding Entourage
How much are you willing to spend for the clothes you will order?
When will you need your clothes to be delivered? Please indicate exact date:
Anything else we need to know before processing your order?
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