Mail Order Form

Please print our order form and mail it to Discount Dresses, 1304 Inwood Road, Dallas, TX 75247 with your Money Order, Check, Credit Card information and special shipping instructions.

 

Bill to
First Name: ______________________ Initial: ________ Last Name: _______________________
Address: ________________________________________________________________________
City: ____________________________ State: _____________________ Zip: ________________
Daytime Phone: _________________________________________________________________
Email: _________________________________________________________________________
 

Ship to,  if same as above check here (   ) 
First Name: ____________________ Initial: ________ Last Name: ________________________
Address: _______________________________________________________________________
City: ____________________________ State: _____________________ Zip: ________________
Daytime Phone: _________________________________________________________________
Email: _________________________________________________________________________
 

Order Information

Style #

Color

Quantity

XS

6

S

8

M

10

L

12

XL

14

1X

16

2X

18

3X

20

4X

22

5X

24

Unit Price

Amount
                             
                             
                             
                             
                             
 Total Quanity = Total Amount=

Payment Option (Check one)
CREDIT CARD     (    )
Credit Card Number: ______________ /_______________ /______________ /_______________
Expiration Date: _______ /______ /______
Credit Card Type (Please circle one): Visa / MasterCard / AMEX / Discover
Cardholder's Name (as it appears on the card): ___________________________________________
Cardholder's Signiture (Card Holder Aggrees to pay Discount Dresses the Total Amount above: 

Signiture:  ________________________________________________   Date: _____/____/____
MONEY ORDER / CHECK    (     )
Please make your Money Order/check payable to DISCOUNT DRESSES and mail it to 

Discount Dresses, 1304 Inwood Road, Dallas, TX 75247
Special Shipping Instructions (below):
By signing customer agrees to the following terms and conditions and order policy:
  1. Non-authorized refusal/returns will result in freight claims.
  2. Please allow 48 hours  for the order to be processed and shipped.

Customer's Signiture (Required): Signiture: 

Signiture:   ________________________________________________   Date: _____/____/____