| Fancy-Panties order form |
| item |
| _____________________________________ |
| embroidery: _____________________________________ |
| quantity |
| _______ |
| ________ |
| Total |
| color |
| _______ |
| _______ |
| price |
| placement of emb _________________________________ |
| other instructions _________________________________ |
| Size |
| _______ |
| -------------------------------------------------------------------------------------------------------------------------------------------- |
| sub-Total |
| ______________ |
| shipping |
| ______________ |
| Total |
| ______________ |
| shipping address |
| ------------------------------------------ |
| shipping to USA ---------- free USA Priority Mail --------- $4.60 Int. airmail up to 2 panties..... free International airmail ......... $5.00 International Global priority-- $11.00 |
| C. Steffan po box 341 Silver Creek, NY 14136 |
| mail to: |
| ____________________________________________________________________________________________________ |
| ------------------------------------------ |
| ------------------------------------------ |
 |
| _______ |
| _______ |
| item |
| _____________________________________ |
| embroidery: _____________________________________ |
| quantity |
| _______ |
| ________ |
| Total |
| color |
| _______ |
| _______ |
| price |
| placement of emb _________________________________ |
| other instructions _________________________________ |
| Size |
| _______ |
| -------------------------------------------------------------------------------------------------------------------------------------------- |
| _______ |
| _______ |
| item |
| _____________________________________ |
| embroidery: _____________________________________ |
| quantity |
| _______ |
| ________ |
| Total |
| color |
| _______ |
| _______ |
| price |
| placement of emb _________________________________ |
| other instructions _________________________________ |
| Size |
| _______ |
| -------------------------------------------------------------------------------------------------------------------------------------------- |
| _______ |
| _______ |
| Thank you ! |
| Credit card info: name on card __________________________ credit card billing address (if different from shipping address) _______________________________________ ______________________________________ |
Type of Card __________________ (Visa, Mastercard etc) Credit card number _________________________________ Expiration date __________________ 3 digit security code on back near signature box _________ *please print clearly to avoid delays ! |