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
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