Topkapi Designs Order Form

ITEM	ITEM #	UNIT PRICE	SHIPPING	QUANTITY	TOTAL PRICE






				GRAND TOTAL	$

Print this form and mail with payment to:

Topkapi Designs Ltd.
123 Hamlet Drive
Mount Sinai, NY 11766 USA
bellydancesup@aol.com Orders: (800) 934-2251
Phone: (631) 476-8797
Fax: (631) 476-8850

Name - First______________________________ Last______________________________
Address________________________________________
City____________________________________________
State_____ Zip_______ Phone(____)_____________
Email___________________________________________

Please make Checks/Money Orders payable to Topkapi Designs Ltd.
Topkapi Designs Ltd. accepts Visa, MasterCard, Amex, Discover.

CARD TYPE	CREDIT CARD #	EXPIRATION DATE	BILLING ADDRESS
		- -
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