Sold to:	Send to:
Name: ____________________________	Name: ____________________________
Address: __________________________	Address: __________________________
City: _____________________________	City: _____________________________
State: _____________Zipcode:_________	State: _____________Zipcode:_________
Daytime Phone: ( )_________________	Daytime Phone: ( )_________________

Item: ______________ Item Price: ___________

Color Preferences: __________________________________________________________

Measurement numbers in inches please:

# 1 – Shoulder to Shoulder.	: _____________
# 2 – Top of Shoulder to Waist.	: _____________
# 3 – Top of Arm, At the Shoulder to Wrist.	: _____________
# 4 – Chest or Bust.	: _____________
# 5 – Inseam.	: _____________
# 6 – Outseam.	: _____________
# 7 – Waist.	: _____________
# 8 – Back of Neck to Desired Hemline.	: _____________
# 9 – Waist to Desired Hemline.	: _____________

Extra Items:

Appliquee Choices:

Turtle, Mushroom, Butterfly, Flower, Fish, Moon and Stars, Sun, and Dragon Fly.

Intricate Appliquee: $15.00 per appliquee. Choice(s):___________________________	: _______________
Hand Embroidery: $15.00	: _______________
Full Lining : $10.00	: _______________
Contrasting Hem : $4.00	: _______________
Stash Pocket or Outside Pocket: $3.00	: _______________
Lace: $5.00	: _______________
Ruffle: $5.00	: _______________

	Extra Item Total: _____________
	Shipping Total: ______________
	Order Total: _______________

Shipping & Handling:
Up to $25	$4.00
$25.01 to $50.00	$5.00
$50.01 to $100	$6.00
$100.01 to $150	$7.00
Over $150	FREE

 Add total of all order forms and calculate shipping once: