Center Stage Costumes - Order Form
233 Hilldale Avenue, Haverhill, MA 01832     Tel: 978-469-9728    Date:__________
Note: Print this sheet, complete and forward with your payment.
Description / Fabric / Color / Size 
Quant. $ Each $ Total
       
       
       
       
       
       
       
       
       
Make Check or Money Order Payable to:
CENTER STAGE COSTUMES
Customer Name:__________________________ 

Address:________________________________ 

City:____________________________________ 

State:____        Zip:______ 

Phone:(          )___________________________ 

Email:_________________________________ 

Orders Shipped Priority Mail or UPS

Payment Method:  __ Certified Check  __ Money Order
                            __ Visa  __ MasterCard 

____________________________________   _____________
Credit Card Number                                           Expiration Date and CVV #
______________________________________________________
Signature
Insurance costs are extra.
 

   
SUBTOTAL    
  SHIPPING    
(FOR OFFICE USE ONLY) 
MK_____ Other_______ Date____________
TOTAL    
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