Fab-Fashions Fax Order Submission Form

Print this form and use to fax your Visa or Mastercard Payment       Fax completed Form to:  770-754-1304

* Indicates Required Information

Please email your questions to admin@fab-fashions.com

*Todays Date

Order Date

Order # (if known)

Customer Information

*First Name          Initial                     * Last Name

Company (if applicable)

*Billing Address

*City

*State / Prov

*Country

*Postal Code

*Shipping Address (if different)

*City

*State / Prov

*Country

*Postal Code

*Billing Telephone

*Contact Number

Fax (optional)

*Email Address

Order information

For eBay payments please remember to include the item numbers below

*Item #

*Item Name/Description

Qty

Price

For more space print duplicate copies of form

payment information

All information below is required in addition to the billing address from the top of the form.  Please print clearly.