---

Credit/Debit Cards:

If you are not sending a cashier check or money order you can pay with a credit card, debit card or an e-check using paypal.  Please use our shopping cart system. For special custom orders you can either submit this form or email your  order to countessa@crimsonempress.com and a invoice from paypal will be sent out to you.

Cashier Check/Money order:

Please make cashier checks/ MO payable to : Countessa Heather

Fill out and submit the form below and an confirmation email will be sent out to you with your order number and purchase total and instructions on sending out your payment. You may also  print out the form below and snail mail it along with your payment.

• Please provide the following contact information:

  Name
  E-mail

• Please provide the following ordering information:

  ITEM#	Description	Fabric Choice	Color	Trim Choice/Color

• Please Provide your size and/or measurements, an explanation of these can be found here:

  none extra small small medium large extra large 1X 2X 3X

  Measurements	Please measure in inches
  Shoulders
  Bust
  Waist
  Hips
  Dress/Skirt Length
  Bicep
  Forearm
  Neck size

   

  	SHIPPING
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country

 

• If you have a gift certificate number or promotional code please claim it here:

 

We are eternally grateful for your order.

*Orders will take 4-6 weeks(although usually less) In the case of large orders(3 items or more) and holidays seasons it may take additional time. Be sure you order ahead of special events. Rush orders can be done but will cost $20-50 extra per item, rush delivery is also available. All prices in U.S. dollars.

---

Copyright © 1999 [Crimson Empress]. All rights reserved.