Quinceanera Dresses Banner
Customer must complete entire form and fax to: 1.310.943.6989

We will confirm your order within 2 business days.
Today’s Date:
Customer Name:
Email:
Phone number:
Wedding Date:
Quote #:
 
Dress Information ________ (Initial)
Designer:
Style # or Name:
Color:
Quantity:
Size:
Indicate petite length (P) or extra length (XL) if needed.
 
Item Price ________ (Initial)
Dress:  
White Garment Bag: $12.99 Recommended–Zipper garment bag
Other (Please specify):
(No swatches available)
Tax (8.25% for CA only):  
Shipping: ($10 within continental US – quinceanera and
wedding dresses)
Total:  
 
Credit Card To Be Billed
Name On Card:
MasterCard or Visa:
Credit Card #:
Expiration Date:
Security Code: (3 digit displayed on the back of card)
Billing Address:
 
Shipping Address:
(If different from billing address)
 
Additional Notes :
(Do not list measurements, we can only take exact sizes specified in the designer size chart)
 
  • I request that Brides of California / La Quinceanera order the dress specified on this order form.
  • I confirm that the order is correct and I authorize the charges to the credit card(s) above.
  • I agree that I am fully responsible for getting the correct measurements and that I have been advised to refer to the size chart for the designer.
  • I agree that I am fully responsible for ordering the correct styles, colors and sizes.
  • I agree that all sales are final and that there will be no exchanges or refunds.
  • I agree that I am responsible for any customs and tariffs. (For international orders)
 
 
___________________________(Signature of Credit Card Holder)
 

___________________________ (Print Name)                              _______________(Date)