Print this IMPRINTING 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 ______________________




(Bride's first name) and (Groom's first name): _____________________________________
Wedding Date
(ex. July 9, 2005): ___________________________


NAPKINS: Quantity Napkin Color Imprinting Color Price
_______ ______________ ______________ $_______
MATCHES: Qty. Matchbook Color Design Code Imprinting Color Price
_______ ______________ ________ ______________ $______
NOTEPADS: Qty. Notepad Color Design Code Imprinting Color Price
_______ ______________ ________ ______________ $______
SEWING KITS: Qty. Sewing Kit Color Design Code Imprinting Color Price
_______ _WHITE_ ________ ______________ $______

Shipping & Handling (orders over $150 FREE) * $____5.95_
Sub-Total $_________
NYS Residents Add 8% Tax $_________
TOTAL $_________
Please allow 1 to 2 weeks for delivery
Orders shipped to New York State please add 8% tax
* FREE standard shipping on all orders totaling over $150 (before 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)