DATE___________________________
PURCHASE ORDER #_______________
DATE REQUIRED__________________
ORDER FORM
P.O. BOX 50073
Eugene, OR 97405
1-800-882-9882
FAX (541) 341-1470
E-mail: info@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 placed by 12:30 pm, PST 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