Funky Divas Order Form

Funky Divas Order Form


Name:____________________________________

Address:_________________________________

City:_________________________State:______Zip:_____________

Phone:(____)_____-_________E-Mail:_________________________
(Print Clearly)



Items Requested:


Quantity |____|  - Funky Divas Rock! Tanks - $18.00 (SIZE____) (COLOR______)



Quantity |____|  - Funky Divas Rock! Adult Tanks - $18.00 (SIZE____) (COLOR______)



Quantity |____|  - Funky Girl! Tanks - $18.00 (SIZE____) (COLOR______)



Quantity |____|  - Funky Divas! Velvet Sweatsuits - $35.00 (SIZE____) (COLOR______)



Quantity |____|  - Funky Divas! Kiddie Sweatsuits - $28.00 (SIZE____) (COLOR:Light Pink)




                        
                                        Total Price:_________ 

                                          Shipping :   $5.00

                      Sales Tax (CA residents only):_________

          (For orders out of the U.S.: $10.00 extra):_________

                                  Total Amount Sent:_________

Please send this form and check or money order payable to Funky Divas to:

Funky Divas Merchandise
1302 Ocean Park Blvd. #E
Santa Monica, CA. 90405

Thank You For Your Order!