Your Complete Source for Prom, Bridal, Pageant, Social Occasion and Fashion Jewelry, Pins and Tiaras

Atlanta Apparel Mart, Suite 7S-115A 250 Spring Street Atlanta, Georgia 30303 Phone: 404-586-0045, 877-727-7900 Email: Sales@SassySouth.com www.SassySouth.com FAX 404-688-2462

Catalog Request Form

Company:	_________________________________________________
Contact Name:	_________________________________________________
Address:	_________________________________________________
City, State, Zip:	_________________________________________________
Phone:	_________________________________________________
Fax:	_________________________________________________
Email:	_________________________________________________
Tax ID #:	_________________________________________________

How did you hear About Sassy South:
    Magazine:
            __ Pageantry
            __ Vows
            __ Teen Prom
            __ Your Prom
            __ Other ____________
    __ Walk-in
    __ Mailing
    __ Internet Search Engine
    __ From colleague or friend
    __ Sales Representative
    __ Other ___________________

Notes:
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Office Use:

Date:____________ Sent by:_______________ ____ Entered in the Database by ________________ ____ Customer Already in Data Base