To: Subject: Name: E-mail Addr: Address: Address: Address: City: State: Zip Code: Phone: Fax: Quantity of Uniforms $33: Jumper Style: Tunic Dropped Waist Bibbed Skirt: Uniform Fabric Selected : Blouse Color: White,Yellow,Lt.Blue,Pink OR White Turtleneck Tights $5.00: White, Navy, Black Shoes $6.00: Brown Loafer School Name and Location: Please enclose or mail your check or money order for $33.00 each payable to DCQ to address below. Price includes jumper, blouse, and hairband. Add $2.00 for U.S. shipping for each uniform ordered. FREE Shipping for orders over $100.00. Please allow 4 weeks for delivery. Other Instructions: If you would rather send this order by mail, just print it on your printer and mail to: Debby's Designs 362 Meadow Wood Lane Souderton, PA 18964 USA Call toll free with any questions: 1-888-753-8653 9:00 A.M. to 9:00 P.M. E.S.T. Thank you!