Chic Girl’s Name____________________ Bride’s____________________
Name_____________________
Main Phone #:______________________
E-Mail_____________________________
Street Address___________________________________
City___________________State_______Zip___________
*Ship to this address?
Yes______
No______ If other: ______________________________________
_____________________________________________
DRESS INFORMATION MEASUREMENTS
Style______________________________ Bust__________
Color_____________________________ Waist_________
Fabric_____________________________ Hip_________
Ribbon/Flower______________________ Strapless_______
Ribcage________
Special Instructions___________________ Normal Size____
__________________________________ SIZE SELECTED _________
PAYMENT INFORMATION
Cost of Dress $___________
Rush Charge $___________
Sales Tax (4.375% NY Only) $___________
$10 Shipping & Handling $___________
Total Amount $___________
METHOD OF PAYMENT
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. All forms must be complete and paid in full before the order is
placed into production. I understand and agree to all terms and conditions in the Kathlin Argiro
policy/contract.
SIGNATURE___________________________________DATE___________
· Fax or email the form to info@kathlinargiro.com or 212-947-9188
Designed and hand-made in New York City Kathlin Argiro © 2008 |P: 212.268.8774 info@kathlinargiro.com