Print this order form for INVITATION SAMPLES and send it with your 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 ______________________


Request For Sample(s)

Item #: _______Qty. #: _____Price: $______

Item #: _______Qty. #: _____Price: $______

Item #: _______Qty. #: _____Price: $______


Each sample costs $5.00

Along with your sample(s), you will receive a certificate worth $5.00 good towards any future order. It is not redeemable for cash.

Samples are intended to show the quality stock of the invitation, and come unprinted.

SubTotal $_______
Ship to NYS add 8% tax $_______
U.S. Shipping (Samples) $__0.00_
TOTAL $_______
Please allow 1 week for delivery.
Orders shipped to New York State please add 8% tax
FREE standard shipping on all samples shipped within the U.S.

* * * 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