Print this WEDDING ACCESSORIES order form and send it with your full payment to:

Pre-Wedding Boutique
200 Prospect Street, Suite 102
Herkimer, New York 13350

Tel.: 1 (866) PREWEDDING
www.prewedding.com
Name _____________________________
Address ___________________________
__________________________________
Telephone _________________________
E-Mail ____________________________
Wedding Date ______________________
Item #Qty.Details or EngravingPrice ($)
________________________________________________________$_________
________________________________________________________$_________
________________________________________________________$_________
________________________________________________________$_________
________________________________________________________$_________
________________________________________________________$_________
Shipping & Handling (orders over $150 FREE) *$____5.95_
Sub-Total$_________
NYS Residents Add 8% Tax$_________
TOTAL$_________
In-stock items are shipped within 2 business days
Orders shipped to New York State please add 8% tax
* FREE standard shipping on all orders over $150 (before above tax) within the continental U.S.
Alaska & Hawaii orders please e-mail for specific shipping charges
* * * ALL orders MUST be signed: X______________________________ Date:_______ * * *

Form of Payment (payable to Pre-Wedding Boutique):
____Visa ____Mastercard ____U.S. Money Order

Credit Card #:  |   |   |   |   |  |   |   |   |   |  |   |   |   |   |  |   |   |   |   | Exp. Date: ___/___

Cardholder Signature:________________________________
Name of Cardholder:________________________________


___Mail or ___Fax to (315) 867-5803 along with any other order form(s)