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A Wedding of a Lifetime
Contact Us /Order Form

******Currently we only except Master or Visa Cards******

PLEASE PRINT LEGIBLY and Fax Order Form to (860-945-0407)

Before we process your order we will contact you via email notifying you if items are instock as well as approx. turnaround time.

 
  First and Last Name:   ___________________________________________

  Street Address1:  ______________________________________

  Street Address2:  ______________________________________

  City:  _______________________________________  

  State/Province:  ________________________________

  Zip/Postal Code:    __________________________________

  Daytime Phone No.:   _________________________

  Evening Phone No.:   _________________________

  Email Address:   ____________________________________ 

  Date of the special event (or what date would you like to have the item(s) delivered, in case some items may be on back order):  _________________________


What items are you interested in purchasing:

Item# ________________ Qty. _____   Item# ________________ Qty. _____
Item# ________________ Qty. _____   Item# ________________ Qty. _____
Item# ________________ Qty. _____   Item# ________________ Qty. _____

 Any additional questions/comments/customization (if applicable):
_____________________________________________________________________

_____________________________________________________________________

 
How did you hear about us?

  ____Someone referred me    Search Engine: ____________ Other: ______________

 Referred name:_________________________  


PAYMENT INFORMATION:

   ___ MASTER CARD    ___ VISA CARD

  CREDIT CARD NO: _________________________________    EXP. DATE: _________

  A Wedding of a Lifetime    http://www.AWeddingofaLifetime.com
  csupport@aweddingofalifetime.com   FAX#: 860-945-0407   PHONE#: 860-945-0407