Mae's Dress Boutique
6707 Old Dominion Drive
McLean, Virginia 22101
Phone: 703-356-6333
E-mail: maesdress@erols.com 
Website: www.maesdress.com 
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Hours: Mon - Sat 10:00 - 5:30

ORDER FORM / ADDITIONAL INFORMATION

To use this form, fill in all the items and click SUBMIT at bottom of form
OR
Fill in all the items, print the form, and fax to 1-888-482-3737

TO OBTAIN ADDITIONAL INFORMATION including pricing and availability

E-mail Address (required)

Vendor:      Style #

Color(s)      Size

Bust**           Waist**           Hips**

Wear Date

 

TO PLACE AN ORDER (Additional information required)

Credit Card #***  Exp Date***

Name as it appears on card  First      Last

Street

City    State

Zip Code   Phone

 

Shipping address if different from Billing address:


Best time to call**

**Optional information

***If you prefer this information may be called to 1-888-482-3737  Hours 10:00 - 5:30 EST

Special Note: Please click only once on SUBMIT FORM.  It may take 60 seconds to receive confirmation of your submission.

SHIPPING AND SALES TAX

Regular UPS            Free

Second Day Air        $15.00

Next Day Air            $20.00

No Sales Tax except for shipment to Virginia