Shapes Dance Wear Atlanta - Order Form

You may print out this form to use it as a worksheet while you browse and then mail your completed order form to: Shapes Dance & Aerobic Wear, 5482 Chamblee Dunwoody Rd., Dunwoody, GA 30338. Or once completed, you may hit the submit button below to place your order on line. Either way, we will be happy to process your order shortly after it arrives.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
SHIPPING- If different from above

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone

Please provide the following ordering information:

QTY ITEM NUMBER, DESCRIPTION, SIZE AMOUNT

Order Amount

Shipping in the Southeast USPS,

Outside the Southeast UPS
Orders up to $100 include $7.00 shipping
Orders over $100 include $14.00 shipping
For Rush Delivery call (770) 396-1078

Shipping

(GA residents must add 7% sales tax) - Tax

Total

BILLING

Credit Card

Cardholder Name

Card Number

Expiration Date

QTY	ITEM NUMBER, DESCRIPTION, SIZE	AMOUNT








	Order Amount
	Shipping in the Southeast USPS, Outside the Southeast UPS Orders up to $100 include $7.00 shipping Orders over $100 include $14.00 shipping For Rush Delivery call (770) 396-1078
	Shipping
	(GA residents must add 7% sales tax) - Tax
	Total
	BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date