ONLINE ORDER FORM

 
     
 Please fill out this form as completely as possible. Fields with an asterisk (*) sign are required. Please DO NOT SUBMIT this form if you are only asking for a price quote.  
     
 By submitting this form you agree to the Terms and Conditions posted on ShopGirlz's website. You also agree to pay the deposit of 50% of your invoice total within three (3) business days of submitting this form.

Please note that, particularly for sale items, your invoice price or the availability of your items is not guaranteed until your bank deposit/payment has cleared. Thank you.

 
     
 

*** PERSONAL INFORMATION ***

 
     
 Full Name*: 
 E-mail Address*: 
 Mobile Number*: 
 Home Number: 
 Multiply ID: 
 Yahoo Messenger ID: 
 Complete Mailing Address*: 
 How did you hear about us*? 
 Do you have a referral number? If yes, enter it here 
 
 
 

*** ORDER DETAILS ***

 
     
 Web Link*: 
 Brand: 
 Item Description: 
 Quantity: 
 Color: 
 Size: 
 Product Code: 
 
 
 

--- For multiple orders, fill out the fields below: ---

 
 Web Link 2*: 
 Brand: 
 Item Description: 
 Quantity: 
 Color: 
 Size: 
 Product Code: 
 
 
 Web Link 3*: 
 Brand: 
 Item Description: 
 Quantity: 
 Color: 
 Size: 
 Product Code: 
     
 Ordering more than 3 items? Email us your additional orders using the format on this online form. 
     
 

*** OPTIONAL INFORMATION ***

 
     
 

*** Please fill out this section to help us improve our service. Thank you. ***

 
     
 What particular brand of handbag would you like to see more of? (please separate answers with a comma) 
 What particular brand of clothing would you like to see more of? (please separate answers with a comma) 
 What particular brand of shoes would you like to see on our site? (please separate answers with a comma) 
 What OTHER type of merchandise would you like to see on our site? (ex. small electronics, CDs, cosmetics, books, etc. - please separate answers with a comma) 
    
 How likely are you to recommend our site to your friends? 
  Will definitely recommend your site
Will likely recommend your site
Will NOT recommend your site
I choose not to comment		 
     
 Comments/Suggestions? 
     
 

I agree to the terms and conditions stated on ShopGirlz's website.

 
  YES
NO