Date___________ Name_____________________ Phone____________________ Address__________________ City_____________________ State_______ Zip__________ NOTE: When ordering Doll Kits, specify color (Flesh, Suntan, or Black) Punkin kit available in suntan only. Sumalee comes in Oriental also. Also specify eye color (Blue, Brown, Green, or Gray). Quantity Code Desc Price S&H Total ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ TOTAL ________ Method of Payment (Please circle) Ck/MO/MC/VISA Credit Card Number___________________ Exp_____ Special Instructions_____________________________________________________ _________________________________________________________________________ Mail Completed form to:
Legacy Dolls
8340 Donal St.
Port Richey FL 34668-6817
Phone: (800) 237-9492 (orders only)
FAX: (813) 849-6517
Accessories
(Wigs, Outfits, Socks/Shoes)