WHOLESALE
Patterns Only
Please fill in the following form. Print and mail your order and payment to:

NEW ADDRESS

Madame X
PMB 378
242 West Main Street
Hendersonville, TN 37075
Name
Stage Name
Street Address
City/State
Zip
Country
E-Mail
QTY ITEM PRICE TOTAL
9801 The Adjustable Beledi Dress
9802 The Marvelous Mermaid and Fabulous Fishtail Skirt
Shipping
TOTAL
RESALE CERTIFICATE

You are responsible for any use and/or sales tax on any items kept for personal use/ not resold.

The following form must be completely filled in to complete your order. Orders with out a stated retail license cannot be filled unless legal proof that your state does not require use and/or sales tax.
Name of Purchaser
Street Address
City/State
Zip
Resale License #
State of Issue
Engaged in the business of selling
Purchasing Costuming patterns from Madame X
Signed
dated
Personal checks and money orders made out to Madame X. All funds in US currency only.
We can now accept credit card orders via internet only, please email for detals.
No refunds or returns. Allow shipping time.
Shipping Fees
Patterns | Costumes & Accessories | Tips & Tricks | Links | Gallery

Dance Class | Graphics | T-Shirts | Who is Madame X?

Order | Wholesale | Costumer's Directory
copyright 2005 Madame X
last updated 9/27/05

Contact Madame X

a site by Laura