Basia Custom Design

22215 131 AVE SE

Kent, WA 98031

Tel: 206-434-6106

 

ORDER FORM

 

1. Name________________________

2. Adres________________________

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3. Tel:__________________________

 

4. Description of costume:_____________________________

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5. Quantity___________________________________________

6. Estimated cost_______________________________________

7. Desired delivery date________________________________________

8. Downpayment______________________________________

 

9.Comments/details____________________________________

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Customer signature                                         Date: