Use the order form to enter your purchases.  Be sure to complete all the information to ensure that your order will be filled to your satisfaction.

If you will be paying by check or money order, complete the form, print it out, and mail it to the address above with the payment.

You must total your order.  If you have any questions filling out the form, or cannot find an item listed, but would like to order, please call (712-243-1007) or email us.  Thank you for your order.  Please stop in often!

Click here for our Return Policy.

Orders will be shipped by Priority Mail
Allow 1-3 weeks for order to be processed and delivered
NOTE:  Partial shipments will be sent, if we cannot complete your order.  The remainder of your order will be sent as soon as we receive it from the manufacturer.

SHIP TO:

Name:
Address:
City:
State:
Zip Code:				-
Country:
Contact Phone Number:				--  Extension
Best Time to Reach You:				AM PM
Email Address:
Method of Payment:				Visa Master Card Check Money Order
Contact Me for My Card Information:
(Billing Address on Card and Shipping Address Must be the Same)
Name on Card:
Card Number:
V Code: (Last 3 digits on back of card by signature)
Expiration Date:				-
I do not wish to give my credit card information on-line. Please call me for the information:				Yes
Item Number	Size	Color		Quantity	Each Price	Total Price
#110					$38.00
#106					$36.00 (F,FF) $38.00 (G.H)
#204					$32.00
Item Number	Size	Color		Quantity	Each Price	Total Price
#180					$26.00
#3353					$29.00
#3355					$28.00
#3562					$28.00
Nippits	--				$5.95
Item Number	Size	Color		Quantity	Each Price	Total Price
Cushions	--	Beige			$8.00
889	--	--			$6.00
Item Number	Size	Color		Quantity	Each Price	Total Price
Bra		Beige			$8.50
8050		Beige			$9.00
Extenders		Beige			$1.50
Magna Magic Converter	Quantities				Sm (5mm) -$10.00 each Lrg (7mm)- $12.00 each
	Small Gold		Small Silver
	Large Gold		Large Silver
					Sub-Total
					IA Residents add 7% Sales Tax
					Shipping & Handling: Add $4.60
					Total

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