Rachel's Closet Order Form

E-mail ----cobra1@thew.net Fax--------812-949-1966

To Order Print this Form and mail or fax to Rachel's Closet , 4115 STONE PL. NEW ALBANY, IN 47150

Name _____________________________________________________________________________ Address ___________________________________________________________________________ City _______________________________________________________________________________ State ______________________________________________________________________________ Zip Code ___________________________________________________________________________

Description

Color/Design

Size

Price

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________                                                                                    Total Order____________________________                                                                               Add $ 15.00 For C.O.D. ____________________                                                                          Amount for Handling_____________$ 5.00________                                                                                     Total Order___________________________

Signature _____________________________ Enclose Personal check or Money order, Check must include Drivers Lic. number,and phone number to be excepted.

No Orders will be excepted for return if tickets have been removed,

S

Signature