DATE___________________________
PURCHASE ORDER #_______________
DATE REQUIRED__________________
ORDER FORM
P.O. BOX 50073
Eugene, OR 97405
FAX (541) 341-1470
E-mail: service@adadance.com
Web Site: www.adadance.com 
NAME_______________________________________________________________________
ADDRESS____________________________________________________________________
CITY____________________________ STATE__________________ ZIP_______________
PERSON ORDERING_______________________________ PHONE_______________________

Check  Money Order  C.O.D.  VISA  MasterCard  AMEX

CARD #_____________________ EXP DATE ______SIGNATURE_______________________
Qty. Item # Item Description Color Size Unit
Price		 Total
Price
1st Choice 2nd Choice
               
               
               
               
               
               
               
               
SUBTOTAL 
SHIPPING 
TOTAL 
 
 
 

Orders shipped same day.
We do not ship out on Saturdays, Sundays and holidays.

Order Total Standard
Shipping		 UPS Methods
3-Day Select 2nd Day Air Next Day Air
$1.00 - $49.00 $6.25 $14.95 $19.95 $29.95
$49.01 - $98.00 $7.95 $19.95 $24.95 $36.95
$98.01 - $149.00 $9.95 $22.95 $26.95 $38.95
$149.01 - $199.00 $12.95 $24.95 $28.95 $41.95
$199.01 - $249.00 $14.95 $28.95 $32.95 $43.95
$249.01 - $299.00 $18.95 $29.95 $37.95 $57.95
$299.01 - $500.00 $28.50 $39.95 $47.95 $69.95
$500.01 - $700.00 $35.95 $45.95 $69.95 $99.95
$700.01 - $900.00 $49.95 $55.95 $79.95 $110.95
$900.01 - $2000.00 $59.95 $65.95 $85.95 $120.00

NO SALES TAX!

 CHECK ONE BOX:
Ship in-stock items now & back orders later.
Ship order complete
 
EXCHANGES:

We will be glad to exchange, credit, or refund merchandise returned in new condition within 30 days of invoice. There is a re-shipping fee of $3.95.

No returns on Tights, Bodytights, CDs, or Videos.

NO RETURNS ACCEPTED ON SPECIAL ORDERS.
 
Send Returns to: 380 W. 3rd suite B   Eugene, OR 97401