ipe fashion order form

ORDER FORM

PRINT AND FAX TO

718-321-8757

CUSTOMER NAME____________________________________________________

PRODUCT #	PRODUCT DESCRIPTION	QTY	PRICE	TOTAL













SUBTOTAL
NY RESIDENTS SALES TAX
TOTAL

PLEASE SELECT SHIPPING TYPE

SHIPPING ADDRESS:

FIRST NAME		LAST NAME
NUMBER	STREET			APT
CITY			STATE		ZIP
PHONE	FAX		E-MAIL

BILLING ADDRESS IF DIFFERENT FROM ABOVE

FIRST NAME		LAST NAME
NUMBER	STREET			APT
CITY			STATE		ZIP
PHONE	FAX		E-MAIL

CREDIT CARD #

LAST 3 NUMBERS ON THE BACK OF YOUR CARD
EXPIRATION DATE

CREDIT CARD TYPE

I,________________________________________AUTHORIZE IPE FASHION LLC. TO CHARGE _____________________________(THE TOTAL AMOUNT PLUS SHIPPING AND HANDLING FEES) TO THE CREDIT CARD LISTED ABOVE.

SIGNATURE__________________________________________________________

ALL JEWELRY PRODUCTS OF IPE FASHION ARE HAND MADE AND OF LIMITED QUANTITIES. SOME PRODUCTS MAY VARY IN SHAPE AND SIZE FROM THE PICTURES SHOWN. SOME PRODUCTS CAN TAKE UP TO THREE TO FOUR WEEKS TO DELIVER DEPENDING ON THERE AVAILABILITY. IF YOU ARE UNSATISFIED WITH YOUR PRODUCTS YOU CAN RETURN FOR STORE CREDIT WITH IN FOURTEEN DAYS OF DELIVERY DATE. ALL JEWELRY MADE BY IPE FASHION LLC CAN BE REPAIRED FOR A MINIMUM FEE OF TEN DOLLARS. REPLACEMENT STONES ARE SUBJECT TO AVAILABILITY. ALL PURCHASES ARE FINAL AND NO CASH REIMBURSEMENTS ARE AVAILABLE. ANY QUESTIONS OR COMMENTS CAN BE DIRECTED TOWARDS "CONSUMER AFFAIRS DEPARTMENT" C/O IPE FASHION LLC. PO. BOX 5734, ASTORIA NY 11105.