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:
__ COD Certified  __ Net 30
__ COD Company Check
__Visa __MC __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: