Bill Levkoff Special Order Jr Bridesmaid # 31502

Requested Payment Option:   Select Payment Option Pay in Full Today (Card will be charged the full amount today) Pay Half Today (Half of total will be charged today the second half will be charged in thirty days)

Junior Bridesmaid Size:   Select Dress Size 4 (B22 - W20 - L36) 6 (B24 - W22 - L40.5) 8 (B26 - W24 - L45) 10 (B28 - W26 - L36) 12 (B30 - W28 - L50) 14 (B32 - W30 - L53) 16 (B34 - W32 - L54)

Requested Dress Color:   Select Dress Color Champagne Wine Clover Latte Petal Pink Plum RosePetal Watermelon Black Glacier Violet Cranberry Canary Pistachio Victorian Lilac Navy Terracotta Cornflower Chocolate Coral Maize Ivory Burnt Orange Silver Crystal White

Event Date ( *If we are unable to meet the event date you will be notified within 2 business days ):

Wedding/Event Name:

Requested Order Type ( All special orders subject to a margin of error of 7 - 10 business days ):   Request Order Type Standard / ETA to Bridal Co. - January 6, 2011 Rush / ETA to Bridal Co. - November 18, 2010 ( +$35.00 )