ROWAN BRIDAL ~210 Onyx St. Suite A ~  15683 
Fax your order to:
1~724~628~0205
..~ ITEM # ~.. ......COLOR/DESCRIPTION............... .~ SIZE ~ . ..QTY. ~PRICE OF ITEM~
         
         
         
         
         
         
+SHIPPING:*US=$12.00   *CANADA=$40.00    *INTERNATIONAL=$55.00  
TOTAL  
DATE OF WEDDING OR EVENT: 
                CUSTOMER CONTACT AND SHIPPING INFORMATION
NAME  
ADDRESS  
   
   
   
PHONE NUMBER  
EMAIL ADDRESS  
CREDIT CARD #'S  
V-CODE *  
EXPIRATION DATE  
ZIP ON BILLING STATEMENT  

* the V-code is the 3 digit # on the back of your card. This is a security measure to protect you. It helps to ensure that the credit

card numbers have not been stolen.