Please fill out this form and submit it immediately
to ensure timely delivery of your dress

Instructions: Fill out the questions, read the policy and hit submit! It's that easy!
-
Bride's Name
Wear Date
Your Name
Address
City
State
Zip Code
Phone
Manufacturer
click the matching size chart for additional required information
Style Number
Description
Color
Size that YOU have
decided to order *
If 5'10" or taller, would you like
extra length?*
YOUR MEASUREMENTS AND INFORMATION
Bust inches
Waist inches
Hips inches
Height foot inches
Weight
Bra Size
Who took your measurements?
Email
Is there anything else we need to know about you? For instance: Are you pregnant? Do you have wide shoulders or hips, etc..? Is your shipping address the same as your billing address?
Method of Payment
if paying by check, print this form and mail it along with your payment.
Card Number
Expiration Date
V-Code
(last 3 numbers on the back of the card)
Dress Price
Shipping Charge $20.00 yes
Total additional charges:
Charge for Extra Length *
Size Charge *
(check charts for info)
Rush Charge
Other charges
Total amount you will pay today?

Any balance will be due within 10 days after the arrival of your ordered merchandise.
   
*Please refer to manufacturer size charts for applicable charges and sizing

YOU MUST READ THIS BEFORE CONTINUING TO THE 'SUMBIT' BUTTON BELOW
 


By Clicking 'Submit' you agree that you have read and accept the above policy.
Please click only once
Thanks!


Size Charts

BILL LEVKOFF
JIM HJELM
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