AvalonUSA.com Mail in Order Form 2007 http://www.avalonusa.com *Email address is required. PLEASE PRINT LEGIBLEY! Date: month____________/date____________/ year 2007 REQUIRED = Email address: Name: Address: City: State: Zip/Postal Code: Country: Phone: Fax: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SHIP TO: Email: Name: Address: City: State: Zip/Postal Code: Country: Phone: Fax: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ORDER: Web Category / Quantity / Style# / Description / Size / Color/Print / $Amount (EXAMPLE: SWIMWEAR 1 X1 micro thong bikini one size hot pink $21.00) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Item 1: Item 2: Item 3: Item 4: Item 5: Item 6: Item 7: Item 8: Item 9: Sub-Total: $ _____________ Shipping & Handling Charges: $ _____________ Total payment enclosed in $ = USD United States Currency Dollars: $_____________ Payment type: [ ] Check [ ] Money Order [ ] Cahier's/Certified check [ ] Other ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ *Please make total payable to: AvalonUSA.com Mail in this form with payment to: AvalonUSA.com PO Box 720415 Houston, Texas 77272-0415 US Check for product availability before mailing in order by filling out a Secure Product Information & Questions Form: https://avalonusa.com/forms/questionsform.htm To check your order status after you mailed in your order; Secure Order Status Form - only after your order has been mailed in with payment: https://avalonusa.com/forms/orderstatusform.htm *By submitting this order form the persons above agree to website policies. Copyright © 1997-2007 AvalonUSA.com http://www.avalonusa.com All rights reserved Void where prohibited. Order Comments: