1)	Goto www.Paypal.com and login to your account
2)	Select SEND MONEY tab
3)	For recipient's email, enter info@therosedress.com
4)	For category, select GOODS(OTHER)
5)	After making the payment, come back to this page
6)	Fill out this form
7)	Mention that you have made the payment by Paypal in the textbox at bottom of this form. Please include the NAME on the Paypal account, amount and the payment ID.
8)	Click on the submit button.

Name

*(first)

*(last)

Phone Number

2nd Phone #

E-mail Address

** (please double check)

Shipping Address

Item numbers start with 2 letters followed by numbers/letters (ex. FI 1116)

Item1 #

Color

Size

Price:$

Item2 #

Color

Size

Price:$

Item3 #

Color

Size

Price:$

Item4 #

Color

Size

Price:$

Item5 #

Color

Size

Price:$

To order more than 5 items, please use the Instructions Text Box below.

8.25% tax will be added to California customers.

SHIPPING COST

Click here to view the shipping cost chart

Please choose one:
amount shown is for one item.

Date of the Event

(optional) mm-dd-yy

Cancel order if not received by this date.

(optional) mm-dd-yy

( Use the Text Box below to add more items. Include Item#, Size, Color, & Price )

(optional)
Consider having a second choice in case first choice is not available.
Indicate second or third choice using text box below.
(example: 2nd choice, FI 1116, red, small, $74)

Instructions/
Add Items/
2nd choice/
Questions/

By submitting this order form, I agree to the order policies stated on the Order Polices Page on this website.