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BB Lingerie, Costa Mesa, CA , USAPLEASE PRINT CLEARLY
NAME: _________________________________________________________________
ADDRESS: ______________________________________________________________
CITY: ________________________________ STATE: ____ ZIP: __________________
EMAIL ADDRESS: _______________________________________________________
PHONE NUMBER: _________________________________________
ITEM NUMBER/COLOR/SIZE...........PRICE PER ITEM.........QUANTITY................TOTAL
___________________________...._________________....__________................__________
___________________________...._________________....__________................__________
___________________________...._________________....__________................__________
___________________________...._________________....__________................__________
___________________________...._________________....__________................__________
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...........................................................................................................SUBTOTAL:
__________
................................................................CA residents MUST add
8.25% sales tax:.__________
.....Shipping: USA $6.95 FedEx/UPS; Canada $9.95 SUPS; Int'l $14.95 USPS: ___________
...............................................................................................................TOTAL:
___________
Accepted Methods of Payment: VISA, MasterCard, and ALL US$ Checks. Make checks payable
to BB Lingerie.
Credit Card Type: ___VISA or ___MasterCard
Name on CC: ________________________________________
Card #: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration
Date: __ / _____
SIGNATURE: _____________________________________________________________
Date of order __ / __ / _____ |