Kameena's Fashions and More
Kim Bulkowski
Conroe, Texas 77302
(936) 648-5757
Order Form
Name:_____________________________________________________ Date:___________________
Address:___________________________________________________
City:_____________________________ State:__________________________ Zip:__________________
Phone:___________________________ Cell:___________________________
Email:_______________________________________________________________
Item Number Size Color Number Quantity Price
1) ______________________ ____________ ________________ ____________ ____________
2) ______________________ ____________ ________________ ____________ ____________
3) ______________________ ____________ ________________ ____________ ____________
4) ______________________ ____________ ________________ ____________ ____________
5) ______________________ ____________ ________________ ____________ ____________
6) ______________________ ____________ ________________ ____________ ____________
7) ______________________ ____________ ________________ ____________ ____________
8) ______________________ ____________ ________________ ____________ ____________
9) ______________________ ____________ ________________ ____________ ____________
10) ______________________ ____________ ________________ ____________ ____________
Sub Total ______________
Shipping (if applies) ______________
Paypal Fee 3% ______________
Total ______________
Please make copy for your records