Bride’s Name_______________________            Street Address______________________
Wedding Date_____________________         City______________________________
Number of Bridesmaids______________         State_______Zip____________________
Phone: (H)_________________________        *Ship to this address?
(W)_________________________         Yes______
E-Mail_____________________________          No______(ship to each chic girl)

DRESS INFORMATION                                        NAME OF EACH “CHIC GIRL”

Style______________________________         ________________    ______________
Color_____________________________          ________________    ______________
Fabric_____________________________         ________________    ______________
Ribbon/Flower______________________          ________________     ______________
Special Instructions___________________
__________________________________             MAID OF HONOR  ________________
Price Per Dress______________________         

PAYMENT INFORMATION

Total Cost of Dresses                                  $___________
Rush Charge                                               $___________
Sales Tax (4.375% NY Only)                       $___________
$10 Shipping & Handling (per dress)           $___________

Total Amount                                                $___________

Bride paying for total amount(all dresses)?  Yes_____No_____
Bride paying for portion of the dresses?  Yes_____No_____ If yes, how much?_______

METHOD OF PAYMENT        *Only required for Brides paying for “chic girls.”

Cardholder Name________________________
Credit Card Type:  Visa_________MasterCard__________
Card #:____________________________________Exp_________Zip_______________

I hereby authorize Kathlin Argiro to charge my credit card for the above total amount (including
shipping and handling and any applicable taxes).  I understand that there are no returns or
exchanges on any dresses ordered.  All sales are final.  Kathlin Argiro is not responsible for wrong
size selection or any alterations done after receiving the dress.  I understand and agree to all terms
and conditions in the Kathlin Argiro policy/contract.

SIGNATURE___________________________________DATE_____________________

*Fax this form to (212)947-9188 or E-mail it to courtney@kathlinargiro.com
BRIDE'S FORM
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