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
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CHIC GIRL FORM
Designed and hand-made in New York City                                     Kathlin Argiro © 2008 |P: 212.268.8774 info@kathlinargiro.com
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