Back Home Fashion Stitch www.fashionstitch.com Secure Online Order Form Please have all of your ordering information ready before starting the form. If you leave the form and come back, the information previously entered will be lost.
1. Ordering Information Please specify all applicable product information in the boxes below to ensure accurate processing.
Item # & Description
Qty
Unit Price
Applicable shipping and tax charges will be applied to your order total.
# of Items
Shipping Cost in US Dollars
1-2
$5.50
3-5
$7.50
6-8
$10.50
Ohio residents must add 7% for sales tax. Indiana residents must add 6.0% for sales tax.
These shipping and tax charges will be added to your total -- you do not need to include them here. Special Instructions: If you have any special instructions on your order please specify in the box below.
2. Bill To: General Information
Last Name:
First Name:
Middle Initial:
3. Billing Information
Type of Credit Card : Visa Master Card Discover Card Credit card number: Expiration date: month January February March April May June July August September October November December year 02 03 04 05 06 07 08 09 10 Name as appears on credit card:
4. Shipping Information
Please specify if shipping address is different than above. Shipping Address: City: State: Zip: Country:
Thank you for shopping at Fashion Stitch. Please click the submit button to process your order!