Consignment Package Request

 

 DUE BACK____________________

                  

                                                    Ship Date____________

New Customer______________

Established Account__________

 

Studio Name_____________________________________________________________

 

Shipping Address_________________________________________________________

 

City, State, Zip ___________________________________________________________

Is This Address A Home Or Business? ________________________________________

 

Person Ordering__________________________________________________________

 

E-Mail Address__________________________________________________________

 

Studio Phone_____________________________Fax_____________________________

 

Home Phone_____________________________________________________________

 

Total Number Of Students_________________________

Number Of Students In DANCE________________In GYMNASTICS_______________

 

Approximate Size Of Each Group____________________________________________

Ages: 3-6__________7-10__________11-14__________15+__________

 

Tap__________Jazz__________Ballet__________Gymnastics__________Other______

 

Studio Colors____________________________________

 

Date Needed: ________________

 

Special Info: ___________________________________________________________

                     ___________________________________________________________

                     ___________________________________________________________

 

 

Please return this information sheet and consignment contract sheet to receive your package.

Mail to: Dance World Bazaar, 1553 Commerce East Drive, Greensburg, IN 47240.

Fax To:  (812) 663-4150