Chemise Order Form
~One Size Fits Most ~
~Colors Available: Off White, White,Burgandy, Black & Green~
~Style Available: Split or whole sleeve chemise shirt made from soft flowing gauze~

Please Note: delivery time may be up to 4 weeks.
For any questions about orders email Lisa the Designer at: angel@bodice-goddess.com
Thank You For Your Order!

Item#/Size
 Qty
Colors
Price
 Total
Name/Address/Contact
#SLSC
(Split Sleeve)		  

$45.00

   Name:
#LSC
(Reg. Sleeve)		  
$45.00
  

Ship To:
Shipping & handling Charge $4.99 per item-Total
  Phone:
Total
  Email:


Credit Card#:__________________________________

Exp Date: _________Security 3 Digit Code:__________

Name on Card:__________________________________
Make payable to Bodice Goddess, Print Out, fill in your requests & Mail with payment To:

Bodice Goddess
2929 N MacArthur # 194
Tracy, California 95376
Credit Card, Money Order or Cashier Checks Only