Ice Angel Order Form

Please write clearly. If we cannot read it, we cannot ship it.

Name:__________________________________________

Address:________________________________________

City:______________________________State:______________Zip or Postal Code:_____________________

Country:_______________

Phone:__________________________________________E-mail:________________________________________

List Dress Order with style number - color - size - price

1._____________________________________________________________________________________________

2._____________________________________________________________________________________________

3._____________________________________________________________________________________________

4._____________________________________________________________________________________________

Sub-total: ______________________

Shipping (see below): ______________________

Total: ________________________Include check or money order if not credit card.

Type of Card : __________________________________________________________________

Name on Card: ___________________________________________________________________

Card #:__________________________________________________________________________

Exp. date:____________________ 3 digit Security code on back of card_______________________

Signature:_____________________________________________________

PLEASE NOTE that the shipping address and credit card address MUST be the same.

SHIPPING, INSURANCE & HANDLING

Please Note that unitards count as 2 dresses for shipping weight.

USA : $ 8.00 first dress, $ 2 each additional dress

Canada: Air Parcel Post: $ 18.00 first dress, $ 4 each additional dress

Japan: Air Parcel Post : $ 35.00 first 1 or 2 dresses, plus $ 5 each additional dress

Shipments to other countries average $35.00 for Air Parcel Post or $64.00 via Federal Express for 1 or 2 dresses. E-mail for exact .

Send to: The Evans Co., Inc.- 105 Springs Pl. Longmont, CO 80504 - USA Or FAX to USA 866-929-6043