MCKENZIE BRIDAL DESIGNS

TO USE THIS FORM: 1. Fill out the form and submit it for online order or, 2. Print this page and use it to: ....Mail your order- McKenzie Bridal Designs                                    Order Dept.                                    P.O. Box 121                                    Fields Landing CA  95537 ....Fax or Phone your order - (707) 445-8179

TERMS: This site is secure for credit card transactions.  We only except Master Card and Visa at this time.  You will receive a copy of your charge slip attached to your invoice with your order.  The Charge will be under McKenzie Bridal Designs on you Credit card statement. Personal checks are accepted.  Your order will not be processed until we receive the check.  Check orders take two weeks to process. Allow 2 to 4 weeks for delivery Shipped UPS. Sorry No COD's

YOUR INFORMATION

Name Address City State  Zip Shipping Address City State   Zip Payment Method please choose Visa Mastercard Check Money Order Credit Card Number - -- Card Expires / If we have your e-mail or phone and there is a snag with your order, it's easier to reach you. Signature (if mailing) ______________________ E-mail Phone () ext. Date Order Placed // YOUR ORDER ORDER STYLE# SIZE TITLE PRICE 3104 10 CONTEMPO I $200.00 3102 10/12 CONTEMPO 2 $500.00 3103 10 LACY $300.00 3101 10 COUNRTY ELEGANCE $600.00 3105 12 RENAISSANCE $450.00 B357 - BRIDAL BAG $10.00 Subtotal $ TAX 7.25% (CA only) $ UPS Shipping and Handling $15.00 Rush $3.00 TOTAL $