Name:
Billing Address:
City:
State:
Zip:
How did you hear about us?
Search Engine
Phonebook
Referral
Other
Comments:
PAYMENT TERMS
VISA
MASTERCARD
CHECK (enclosed)
Credit Card Number
Expires
Signature
Please note: If your shipping address is different from your credit card billing address listed above, please include your ship to address in the comments section below.
Phone:
CUSTOMER INFORMATION
FAX / MAIL ORDER FORM

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Total Cost |
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Sub Total ___________
(CA residents add 7.75%) Tax _____________
Shipping Charges (See Terms & Conditions) _____________
TOTAL _____________
Fax To: 760-439-8996 or Mail to:
Oceana Fashions, 531 Vista Bella Suite C, Oceanside, CA 92057