order

	Voice: [562] 493-4642
	[800] 685-7230 PIN 7928

Fax: [562] 799-9626

E-mail: mishgirls@aol.com

237 MAIN ST., SEAL BEACH, CALIFORNIA, 90740 USA


	ORDERING from Mishmash is easy!


	* Print out, fill in -then mail or fax the Mishmash Order Form attached.


	* You may also send your request via e-mail.
	* Be sure to include your Phone and Credit Card Number.
		* Shipping charges apply.

Order Information
Phone: (800) 685-7230 PIN 7928
Fax: Print this form and fax it to (562) 799-9626
Mail: Send to: MISHMASH ORIGINALS, 237 MAIN ST., SEAL BEACH, CA 90740

Shipping Information
Total Order From $0        To $25.00   Add $5.25 Shipping
                            $25.01        $50.00           $6.25
                            $50.01        $75.00           $7.25
                            $75.01        $100.00         $8.50
                            $100.01      $150.00         $10.00
                            $150.01      $200.00         $12.00
                            $200.01      $250.00         $14.00
                            $250.01      & above        $16.00

Order Form

Product

Color

Size s,m,l,x,2x,3x,4x

Price

Qty.

Total

2pc top/pants

$45/$50

2pc top/skirt

$45/$50

3pc pants set

$65/$70

3pc skirt set

$65/$70

Sequin collar

One Size Fits All

$35

Sequin shawl

One Size Fits All

$35

Sequin epaulette

Blk,Gld,Slvr,Wht

$30/pair

Austrian pins

Assorted Designs

Call

Sub Total

Shipping

Tax

Total

DISCOUNT OFFERED ON VOLUME ORDERS!

Shipping Address

Name
Address
City	State
Country	Zip
Email

Billing Address
Check if same as shipping address

Name
Address
City	State
Country	Zip
Email

Billing Information

Credit card
Name on Card
Card number
Expiration