Print this form out and send it to us if your want to charge or email or phone:

Dore' Order Form

Details For Ordering

Choices of color and fabric are interchangable

Sizes: small (s), medium (m), large (lg) and extra large (xlg)

Fabrics: Spandex-Lycra, Lycra-Mesh, Hologram, Lame, Woven Mesh, Micro Fiber, Cotton Lyc,

Orders by mail only: Print out your Easy Order Form, and mail the form and check to us: Our service is guaranteed.

Send to:

Dore' Gabriel

1 Las Olas Circle # 912

Fort Lauderdale, Fl 33316

phone: 1-954-467-7270

e-mail: beachndanc@aol.com

PLEASE SIGN HERE:

CHARGE CIRCLE: VISA OR MASTERCHARGE LIST #

EXPIRATION DATE:

Ship to:

Name:

Address:

City,State,Zipcode:

Phone :

e-mail:

Item #  Description  Color  Fabric  Size Quantity $ Amount                                                                                                                                        shipping / handling / insurance  US 1 - 3 suits $4.00  US 4 - 6 suits $6.00  $  shipping / handling / uninsured  Foreign 1 - 3 suits $4.00 Foreign 4 - 6 suits $6.00  $      Total amount  $

I accept Visa / Mastercard / PayPal.com / Money Order / Cashier's Checks

You can also fax or phone your credit card information - fax / phone # 1-954-467-7270

Thank you for your order,

Dore' Gabriel.

1 Las Olas Circle Apt. 912

Fort Lauderdale, FL 33316

email: beachndanc@aol.com