Jentaydesigns.com Order Form

Name:_________________________________________________________________

Address:_______________________________________________________________

Phone:_________________________________________________________________

Email Address:____________________________________________________

Event Date or Date Needed By:___________________________


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Order Item #1

Item Name:_______________________________________________________________

Item Number:________________________ Quantity:_____________________________

Item Description:__________________________________________________________

Style Choice:_____________________ Color Choice:___________________

Price Each:__________________________ Total:_____________________

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Order Item #2

Item Name:_______________________________________________________________

Item Number:________________________ Quantity:_____________________________

Item Description:__________________________________________________________

Style Choice:_____________________ Color Choice:___________________

Price Each:__________________________ Total:_____________________

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Order Item #3

Item Name:_______________________________________________________________

Item Number:________________________ Quantity:_____________________________

Item Description:__________________________________________________________

Style Choice:_____________________ Color Choice:___________________

Price Each:__________________________ Total:_____________________

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Order Item #4

Item Name:_______________________________________________________________

Item Number:________________________ Quantity:_____________________________

Item Description:__________________________________________________________

Style Choice:_____________________ Color Choice:___________________

Price Each:__________________________ Total:_____________________



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Order Total:____________________

Shipping Rate:___________________

RUSH ORDER:__$25.00__ (ONLY on gowns ordered less than 2 weeks before event date)

TOTAL Amount Enclosed:___________________________

Payment Enclosed : (Please mark as many that apply, NO credit cards by mail)
Cash [ ] Personal Check [ ] Money Order [ ] Cashiers Check [ ] Gift Certificate [ ]

Please make ALL checks payable & Mail Your Order To:

Jennifer Taylor

P.O. Box 71134

Eugene, OR 97401

Please check our ordering information page for current shipping rates.

(If you do not have a printer; let us know and we will mail you a copy of this order form)

We must have this order form along with full payment before we can process your order, to ensure that your order is processed as quickly as possible it is best to email us to let us know that your order is on the way and also send us a list or copy of your order.

Thank You….we will let you know as soon as we receive your order.