Mashrabiya-Order Form

You may use this online order form to order items from mashrabiya, or call us directly at (703) 528-2623
If you prefer to fax or mail your order, please print out this form and send it to:

Mashrabiya Ltd.
1416 N. Utah St., Arlington, VA 22201-4824 USA
Fax: (703) 528-2623

To make your order: Click "Order Check" next to the item you wish to buy and indicate "Quantity" desired.

Order check	Image	Quantity	Item	Price
			JACKET	US$375.00
			STRAIGHT VEST	US$150.00
			POINTED VEST	US$120.00
			Blouse	US$85.00
			RUNNER (regular size)	US$120.00
			RUNNER (long)	US$140.00
			RUNNER (small size)	US$60.00
			PILLOW COVERS (small size) PILLOW COVERS (medium size) PILLOW COVERS (large size)	US$60.00 US$85.00 US$150.00
			PLACEMATS AND NAPKINS (A set of four placemats and four napkins)	US$240.00
			MIRROR (rectangular shape) MIRROR (pointed shape)	US$85.00
			EYEGLASS CASES	US$15.00
			PURSE	US$15.00
			EVENING PURSES	US$40.00
			Total US$

Packing, Handling and Shipping Rate

The rate depends on the purchase value as follows:

$7.00 - $25.00 $3.95.
$25.01 - $75.00 $5.95.
$75.01 - $125.00 $7.95.
More than $125.00 $9.95.

Purchaser's Information:

Please provide the following:

Your Name:
*Required

Address:

Phone Number:

Fax Number:

Email Address:
*Required

Payment Method:

Indicate your preferred method of payment.

Check
Money Order
MasterCard
VISA
American Express
Discover

Account Number:
Expiration Date :

Signature: _______________________________

(Note: This line needs to be signed if you are sending or faxing your order.)

Comments:

Should you have any special instructions or comments with your order, please include them here.

Your Name:	*Required
Address:
Phone Number:
Fax Number:
Email Address:	*Required