Name:
 
     
E-Mail:
 
     
Home Address:
 
     
Ship to Address:
 
   
City, State, Zip:
  ,
     
Day Phone:
 
     
Evening Phone:
 
     
Please list the name(s) and price(s) of the dress(es)
you would like to order:
 
     
Would you like to purchase a dome(s) for your
dress(es) for only $15.00 more:
  
yes no
   

Comments:
( "I'd like your comments on the styles of
dresses I have chosen to make.)

  
     
Please note :
  We update the web site daily and dress(es) you ordered will be noted as reserved with the reserve date posted. Since each dress is one-of-a-kind there may be others who want the same dress. Should you see a dress marked reserved keep note of the reserve date. Should 10 days expire the reserve date will be removed and dress will once again become available. Dress(es) will be removed from the web site once it has shipped to you.
     
 
   

Payment:

  Make your check or money order payable to:
Helen Sandow
     
    Mail to :
 

Helen Sandow
8260 S.W. 151 Street
Miami, Florida 33158-1958