Date: Invoice #: Customer ID: To: Ship to: Street Address: City, ST ZIP Code: Phone: Credit Card: (Circle) Visa/MC/ AMEX/ DSC Card Number: Exp Date: CVS Code: Zip Code to Card: Salesperson Job Shipping Method Shipping Terms Delivery Date Payment Terms Due Date Qty Hair Accent Type Package Unit Price Discount Line Total Subtotal Sales Tax Total Make all checks payable to Girlie Girl Accentz Thank you for your business! [FaceBook: https://www.facebook.com/GirlieGirlAccentz [Phone: 8774335441 ext 101] [Fax: 3362702879] [Email: [email protected] ] Total Discount City, ST ZIP Code: Phone: Description of Ribbon Street Address: Order Form Name: Name: Company Name: Company Name: