PO Box 891 Hicksville, NY 11801-0891       ph 516-859-4880   fx 516-622-0453

 web: www.nIceFashions.com        email: nicefashions@optonline.net

DRESS ORDER FORM

      Not sure what style, look or fabric to choose?   Just contact Madeleine for advice!

Today's Date:                              Requirement Date:                                                                                             

Shipping:  (cirle one)   USPS Priority Mail      FedEx 2-day       FedEx Overnight

                               Shipping charges are added to your order

Name:                                                                                                                                                                         

Address:                                                                                  Apt:                City:                                                    

State:                     Country:                                         Zip:                                   

Phone:                                                                 

email:                                                       Best Way/Time to Contact:                                                                    

Method of Payment: (circle one)           AMEX     MC     VISA     DISCOVER     CHECK   

Card Number:                                                                      Exp:                                  

Amount to be charged $                                   (skip payment section if you have not received pricing yet)

Bust/Chest:                                      Waist:                         Hips:                                  Total Girth:                    

ShortGirth:                                       Back Waist:                    Inseam:                      

Height:                                       Wt:                                     Age:                                  

Style:                                                                                      Music:                                                                        

Qty:                   Size:                        Fabric:                                                                                                            

Comments:                                                                                                                                                              

I have read and agree to the terms and conditions of the Info & Policies .  Intial:                  

Thank you!