ORDER FORM (United States)
Two Sisters Fashions       3413 Clearmont Ave.        Odessa, TX  79762-6906

Fax your order... anytime!    (432) 550-4127

We need information about you . . .
 NAME_________________________________
 *ADDRESS_____________________________
 City_________________ State____ Zip_______
       Phone: DAYTIME (____) ______________
                   EVENING (____) ______________

E-MAIL Address: ________________________

          

Ship order to: (if different from your address)

    NAME__________________________________
    *ADDRESS_____________________________
    City_________________ State____ Zip_______
               *UPS will not deliver to a post office box.

   

  DATE: ________________________________

   Item #    Qnty   Color    Size                D e s c r i p t i o n                        Price     Extension
             
             
             
             
             
 Merchandise TOTAL                     
 Shipping & Handling
  (See Chart Left)
 
 Sub TOTAL  
 Texas Residents ADD
 8.25% Sales Tax
 
 ORDER TOTAL  

U.S. orders Add
Shipping & Handling
if Order is:

Regular
UPS
Ground

Up to $ 49.99

$ 9.00

$ 50.00 - $ 99.99

$ 10.00

$ 100.00 - $ 149.99

$ 11.00

$ 150.00 - Up

$ 12.00

For Express Shipping rates, in addition to regular ground, please call us at 1-800-343-9559.

 ( Payable in US Funds )

We cannot accept COD orders
or Personal Checks.

Charge to:
    [_] MASTERCARD        [_] VISA        [_] DISCOVER       [_] AMEX

   Bankcard Number: ___________________________________

   Expiration Date: ______________

    NAME (On Card) _____________________________________________

    BILLING ADDRESS ___________________________________________

   City ________________________________   State _____  Zip __________

   SIGNATURE ( Required ):
_________________________________
(Form revised 5/8/03)