Your Complete Source for Prom, Bridal, Pageant, Social Occasion and Fashion Jewelry, Pins and Tiaras



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Your Complete Source for Prom, Bridal, Pageant, Social Occasion and Fashion Jewelry, Pins and Tiaras

Atlanta Apparel Mart, Suite 7S-115A

250 Spring Street Atlanta, Georgia 30303

Phone: 404-586-0045, 877-727-7900

Email: Sales@SassySouth.com www.SassySouth.com



FAX 404-688-2462


FAX ORDER FORM

Date:________________________





CUSTOMER INFORMATION

SHIP To (If different address)

Store Name:

Street Address:

City, State, Zip:

Email:


Phone #:

Fax #:


Contact Name:

Store Name:

Street Address:

City, State, Zip:

Contact Name:


Phone #:

Fax #:








Quantity

Style #

Description/Color

Price Ea.


Total







































































































































































































































































































TOTAL:




Method of Payment:

 Net 30  COD Certified

COD Company Check



 MasterCard  Visa  AMEX ________________________________________

Exp ____/____ Card Holder Name: _____________________________________

Please Note: Items ordered without style # will not be authorized for return if incorrect.



Office Use: Customer had all style numbers for order: Yes  No  Order Taken By:



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