Please print this form and choose an option listed below.

[ ] ORDER
[ ] QUOTE
VANITY EXPRESS QUOTE/ORDER FORM
Name:
Street: Phone: Date:
City: Fax: Country:
State: E-mail: P.O.#
Zip: Ordered By: Web Address:
Collection Name(s):





Collection Name (s):





Comments:





Qty.
Item Name:
Qty.
Item Name:
Qty.
Item Name:





































Options:
1. Print and fax this form to 800-756-9077
2. Print this form and use this as a guide while you email your request to vanityexpress@yahoo.com
3. Print this form and mail to: Vanity Express • P.O. Box 26 • Albion PA 16401

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