Order Form

Melanie Moore Designs
P. O. Box 125     Malden-on-Hudson, New York 12453
      (845) 246-9038     

PLEASE NOTE: To use this order form, you may fill it out online and print it, OR you may print it and fill it out by hand. Mail or email (see instructions below) it to us -or you can give us a call.  We do not have printed catalogs. Online Shopping Cart coming SOON!

Shipping & Billing Address:

Street or P.O. Box
If you would like your order sent somewhere other than the above address, please complete the following:
Street or P.O. Box

Item Size Color   Amount
Left Handed?? We can reverse the barrette for an extra charge of $5.25 
Largest Size Barrettes available for an extra charge of $5.25 
(NOTE: Will only fit size 1" x 4-1/2" and all fabric snoods.)
Special Requests??

Method Of Payment: We accept personal checks, cashier's checks & money orders or MC/VISA.
  VISA     MasterCard
Card Number:
Exp. Date:   Security Code:____________  Billing Zip Code ___________
Name On Card:
Signature:   Date: ___________



Priority Mail Shipping - $7.15 (FREE shipping on orders over $50) - Overnight USPS Shipping - $22.00 

NY Residents Add 8% Sales Tax:

Ordering from outside the US? Additional shipping, credit card fees and customs charges may apply.  No returns or exchanges. 

We want happy customers - so, if you're not satisfied with your purchase, you may exchange it for another (domestic orders only). Repairs are made free of charge (reasonable damages only, please). Please don't hesitate to call with questions.

If you would like to email the order to us: 

1)     Fill out the order by typing in the information (put full name in the signature space).

2)     Highlight the entire text on the page and copy it.

3)     Paste it onto a Word document and save the document.

4)     Send us an email with the Word document as an attachment.


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