P           Costumes of Nashua LLC

           76R Derry Street, Suite 12

                Hudson, NH 03051

 Phone:  603-882-5640                Fax: 603-821-5198

 www.costumesofnashua.com   dressupnh@gmail.com

                            Date    _____/_____/______

Print out this page & mail, fax or e-mail your Order for Purchases.

Please note: Minimum order for shipping is $25 (some exceptions made for previous customers)

               Don't hesitate to call us with any questions!

                         Ship to Address:     PLEASE PRINT CLEARLY

Name:_________________________________________________

Address:_______________________________________________

______________________________________________________

City:________________________________ State:_____________

Zip/Postal Code: ___________________ Country: _____________

Telephone #:______________  E-Mail Address:________________

Please be sure to print the address as it should appear on the package.

                                Bill to Address:      Same as Ship to Address:  Y / N

(Please Note: We can not process orders without the correct billing address)

Name:__________________________________________________

 Address:________________________________________________

_______________________________________________________

City:________________________________ State:______________

Zip/Postal Code: ___________________ Country: _______________

Telephone #:________________  E-Mail Address:______________________

This is what I would like to order:  Make sure to specify child or adult and sizes!

        Item #                Qty          Price           Size            Color                    Description

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______________    ____      ______       _____       ________      _________________

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To ensure proper fit, please include the below measurements:

Measurement Woman:  Bust:_____ Waist:_____ Hips:_____

Measurement Men:  Chest:____ Waist:_____ Outseam:______

Merchandise Total: $_______   Date Wanted: _______ Date Required: ______

Comments or Special Instructions: _______________________________________

PAYMENT INFORMATION:

(  ) Check or money order in US dollars made out to: Costumes of Nashua LLC. (call for S&H)

(  ) I will be paying by credit card:    (  ) Paying by debit card:     (  ) Paying by Pay Pal:

Visa     MasterCard     American Express    Discover/ Novus

Credit Card #:___________________________________     Expiration Date:_________

Security Code:________  Signature:___________________ Print Name:_____________

I authorize Costumes of Nashua LLC. to charge my card for the item(s) listed

above  Total: $________  plus shipping & handling.

S&H is determined after the item(s) are boxed, weighed, measured & entered into the system.

NOTE: Only the card holder whose name appears on the card may use the card.

You must be 18 years old to place a credit card order.

Return/Exchange Policy: Please click HERE  to review our policy on returns & exchanges.

Please click HERE  to review our shipping policy.

We thank you for your business!

In stock orders are shipped out within 1 -2 business days after receipt.

We will notify you via phone or e-mail if there are any problems or delays.