233 North Main Street
Farmville, VA 23901
Phone: 434-392-5111
Fax: 434-392-4070
Caryn's
Bridals, Formals, and Tuxedos
Order options:
1. Phone us at 1-434-392-5111 (have the below information available).
2. Complete and print the form below and fax it to us at 1-434-392-4070.
3. Complete the form below and submit (via e-mail).
4. Complete and print the form and mail to the above address; include payment.
ALL SALES FINAL
Payment Options:
Check (mailed orders)
Money Order (mailed orders)
Credit Card (debit card w/logo)
Home
Carla's Web Design
Home Phone:
72" Zipper Bag
Your Name:
Dress Price
Work Phone:
Less Discount (if applicable)
Subtotal
Best Time & Place to be
contacted
Sales Tax (VA) 5%
E-mail:
Shipping ***
Shipping Address:
Total
City:
We Accept:
Master Card, Visa, and Discover
State:
Zip
Designer
Style #
Size
Name
(As it appears on card)
Bust
Credit Card #
Waist
Type of card
Hips
Expiration Date
ex: 10/08
Height
Credit Card Billing
Address
Bride's Last
Name
Signature
Color
Event Date
***Shipping & Handeling Charges

Shipping is $30.00; UPS ground
Shipping is $55.00; UPS 3 days select
Shipping is  $70.00; UPS 2 day air
Shipping $85.00; UPS next day air saver
Shipping; $100.00 UPS next day air
Shipping $150.00; UPS next day air early
International Shipping;
e-mail for price quote
* All options are not available in all locals
Comments & Questions
E-mail the webmaster
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