Lay-a-way Order Form by JaymesChapman


									                                                                                                  Print Form
                                     Lay-a-way Order Form
                                     Complete the order form and fax to (201) 322-3466. All orders are
                                     subject to verification by our customer service department . Only
                                     the items listed on this form are available under our lay-a-way

Name                                                                Email

                                                                    Daytime Phone
Shipping Address

City                                   State AL                             Zip Code

What would like you to place on lay-a-way?

   Body Magic $140.00                                                                  Minimum Deposit:
                             Color                           Size

   Panty Reshaper $75.00                                                               Minimum Deposit:
                             Color                           Size

   Men's Abdomen Shirt                                                                 Minimum Deposit:
                             Color                           Size

   Golden Corsett $92.00                                                               Minimum Deposit:
                             Color                           Size

   Corsette Vedette $80.00                                                             Minimum Deposit:
                             Color                           Size

   Body Fashion $153.00                                                                Minimum Deposit:
                             Color                           Size

                                             To determine your order subtotal, add the
Order Subtotal                               minimum deposit amount required for
                                             each item together. Add the $15.00
Add Lay-a-way       $15.00                   layaway fee. FREE SHIPPING ON ALL LAY-A-
Fee                                          WAY ORDERS. Limited time only!

Shipping            FREE                     All Deposits are NON-REFUNDABLE. You have 30 days from
                                             the time your order is placed to pay your balance in full. To
Order Total                                  make a payment, call customer service at (201) 322-3466 ext
                                             403. You can also mail a money order to: Behind The Veil, LLC
                                             Attn: Ardyss Distribution Department 539 South Prospect Ave
                                             Bergenfield, NJ 07621. NO PERSONAL CHECKS ARE

Name on Credit Card

Credit Card Type

Credit Card Number

Expiration Date (MM-YYYY)

CVV-MC/VISA 3-digit Code                          CVV-AMEX 4-digit Code

                                               Credit Card Authorization

I hereby authorize Behind The Veil, LLC to charge my credit card account in the amount of $

This authorization covers the products indicated on this order form. I understand my electronic signature on this form will serve as
my authorzation.

Signature                                                                  Date

                                                           Terms & Conditions

        Orders placed using this form are for lay-a-way only. Deposits are non-refundable, NO EXCEPTIONS. You are expected
        to make a payment on your account within the 30 day lay-a-way time period. Once your order is received, you will
        receive a statement from Behind The Veil indicating a summary of your order along with an invoice. Each time a
        payment is made on your account, you will receive a statement of your account balance . Statements are made
        available upon request at any given time. Simply call customer service or send an email using the contact us page
        indicating your request. Once your account is paid in full, your order will be processed and your item will ship. If you
        have additional questions regarding our Lay-a-way procedure, please visit our website at

                                            We appreciate your business

Behind The Veil, LLC                                 Lay-a-way order form                                                   Version 2.0

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