Doré's Micro Swimwear

Send to:

DORE GABRIEL
1 LAS OLAS CIRCLE
FORT LAUDERDALEOrder Form
FLORIDA
33316
USA.

Phone/Fax:- 1-954-467-7270

ITEM	DESCRIPTION	COLOUR	FABRIC	SIZE	QTY	AMOUNT

Shipping (1 to 3 items add $4, 4 to 6 items add $6
TOTAL

We accept most major credt cards, money orders and cashier's checks.
(If paying by credit card please complete the following)

Card Type (Please circle)	VISA MASTER CARD AMERICAN EXPRESS DISCOVER CARD
Card Number
Expiry Date.

Ship to:-

Name
Address
City
State
Zip / Post Code
Country
email
Phone