Crowning Image
 Printable/Faxable Order Form
 Please print

Please allow 3 to 10 business days for all in-stock items.


If paying by Amex please include 4 digits on back of card
For visa mastercard and discover include 3 digit code on back

Item

 Size/Style

Price

 Qty. Total
Swimsuit in Sizes 2-16
add $25.00 for French Cut or extra girth
add $20.00 for shimmer or velvet
__Regular or __Lycra

__French Cut
__Extra Girth
__Shimmer
__Velvet

 Call for price and more info - $
Fake Bake System
add shipping: $8.95 		 N/A $ 49.95   $
Fake Bake alone
add shipping: $6.95		 N/A $ 36.95   $
"It Stays" Body Adhesive N/A $ 20.00    $
Natural Foam Push-up Pads A B C
Circle Size		 $ 13.00    $
Fabric Covered Push-up Pads A B C
Circle Size		 $ 13.00    $
Cut To Fit Pads one size $ 13.00   $
Covered Teardrop Pads A B C
Circle Size		 $ 13.00   $
The "FREE" Bra   $ 34.00
Spanx Hose
power panty - 25.00 
super spanx - 24.00
_________
See sheet		 $ _______   $
Topstick Tape N/A $ 5.00   $
Crown Key Chain
 N/A $ 2.50   $
Crown Feather Pen
 N/A $ 3.50   $

SHOES
Shipping and handling on shoes is $15.00
Item Size/Color Price Qty. Total
Abby    $94.00   $
Bella   $144.00  

$
Caitlin 4" camel   $103.00   $
Caitlin 5" camel   $109.00   $
Camel 2"    $96.50   $
Camel 3"    $107.00   $
Camel 5"    $107.00   $
Cassie 4" camel   $60.00   $
Kamie 4" camel   $107.00   $
Kamie silver 4"   $123.00   $
Kelley silver 4"  
Most popular cocktail shoe or pantsuit shoe. Good for talent.		   $123.00   $
Kelley 4"  
Also comes camel most popular swimsuit shoe. This shoe has a square toe so it is very comfortable.		   $107.00   $
Lilly4" camel, silver, or gold   $117.00   $
Lexie 5" silver   $137.00   $
Misty 3" camel    $98.00   $
Misty 5" silver (no rhinestones)   $112.00   $
Patricia   $87.00   $
Paige 4" Taupe Leather   $66.00   $
Regina 5" silver or gold with rhinestones
Most popular gown shoe		   $137.00     $
Terri 4 1/4 " camel   $70.00   $
Summer silver   $113.00   $
Summer camel   $113.00   $
Other not listed       $

Queen Collection
Item Size Price Qty. Total
T-Shirt - Believe (S,M,L,XL)
Circle Size		 $ 24.95   $
T-Shirt - And the Winner Is.. (S,M,L,XL)
Circle Size		 $ 24.95   $
T-Shirt -Life's Too Short Not to Be Queen (S,M,L,XL)
Circle Size		 $ 19.99    $
T-Shirt - Life's Too Short Not to Be Queen XXL
 $ 24.95    $
T-Shirt -Think Positive  (S,M,L,XL)
Circle Size		 $ 24.95    $
Nightgown -Work Hard ..First Runner Up...
 		ONE SIZE $ 19.95    $
"Queen" Pillow - White square N/A $ 24.50    $
"Rhinestone Queen" Pillow N/A $ 27.00    $
"The Queen is Sleeping" Door Hanger N/A $  9.99    $
           

Processing and Handling: 
$8.50 up to 3 lbs. Does not include any additional shipping required.

 N/A $  8.50   

$  8.50
Additional Shipping:
(to be calculated by Crowning Image) 		  $   $
Shoe Shipping:   $ 15.00   $ 15.00

Subtotal:
      
$
Texas residents
add 7.25% sales tax:		             $

Total:
   
  $      
 
Billing Name:
Address:
City:
State:
Zip:
Phone: 
Cell phone or Work phone:(in case we need to reach you about your order during the day)
Email: 
Driver's License #: 
Shipping Name Address (if different from above):
Address:
City:
State:
Zip:
Phone:

If paying by Credit Card
Credit Card Type: (circle)
Visa, MasterCard, Discover, American Express, Dinner's Club

If American Express enter 4 digit verification code: _____
OR 3 digit verification code for all other cards: _____

Credit Card Number: 
Credit Card Expiration Date:(Month/Year)
Printed Name: ____________________________________________
Signature: ________________________________________________

Please make all checks payable to Crowning Image. 

Print form and mail or fax to:

Crowning Image
Mailing Address ONLY:  12881 Bruce Road. 
Willis, TX 77318
FAX: 719-676-4255

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