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Out of Town Orders
Customer Contract/Order Form - Please Print

Out of Town Customer Ordering
8 May 2006

TLC Bridal Boutique - 236A North Market Street - Frederick, MD  21701 - Phone 301-662-8874

Bridal & Formal Collections - Customer Contract/Order Form

Please complete form and print. Return via fax with your payment Fax: 301-662-2539

IF WEDDING, BRIDES NAME_______________________________PHONE ______________

                        TOTAL # OF ATTENDANTS ORDERING: _________________

Customer (Purchaser) Name: _______________________________________________________

Address: _______________________________________________________________________

Phone: Day: _____________________ Evening: ___________________Cell: ________________

Email: _____________________________________

Event Date: ___________ Date Needed: _____________ Payment Method: __________

Special Instructions: _______________________________________________________________

Is TLC Shipping Merchandise to Customer Address Above? YES / NO

I have read and agree on the style, size, color, price, and terms below and on my invoice.  understand gowns are not custom-fitted and alterations may be required. I understand I must pay a minimum 50% deposit now and the balance upon receipt of the merchandise ordered. I also understand my deposit and merchandise is non-returnable and non-refundable and that I owe the total amount below. I also understand plus size gowns (16 and up), extra length, and other special options are subject to an additional fee. Merchandise must be picked up within 2 weeks of delivery and notification otherwise TLC has the right to charge me a $5.00 per week storage fee. I also authorize TLC to bill my credit card below for any remaining balance due if I do not pick up within the 2 weeks required. TLC charges a return check fee of $35.00. All alterations and other associated costs are the responsibility of the customer. TLC is not affiliated with any alteration/seamstress/pressing service companies and not liable for gowns. THIS CONTRACT IS WITHOUT RECOURSE.    I have read and agree to the terms of this contract.

Signed: ________________________________ Date_______________

Visa/MC #____________________________________________ EXP Date________ Security Code_______

I am fully responsble for the measurements sent to TLC and requesting the size below.

Bust ________" inches     Waist _______" inches   Hips________" inches

Item #

Description

Size

Color

Final Price

TLC Order Date

Approx Factory Ship Date

Plus Size Fee –16 and Up- (if applicable)

Special Option Fees (if applicable)(i.e. extra length, shorter length etc)

Rush Cut Fee (if applicable)

Sub Total

5% MD Sales Tax

Shipping Charge (if applicable) non-taxable

TOTAL ORDER AMOUNT

Non-Refundable Deposit Amount

Balance Due