To: Subject: Name: E-mail Addr: Address: Address: Address: City: State: Zip Code: Phone: Fax: Quantity of Uniforms: Pants Color : Khaki or Navy Top Style in White: Tee Shirt OR Blouse School Name and Location: Please enclose or mail your check or money order for $20.00 US each payable to DCQ to address below. Price includes top, pants, hairband. and sneakers. Add $3.50 for U.S. shipping. Please allow 2 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!