___ Add Bangs $16 More Info More Info More Info More Info (if different) Exp:_____________ Order Form (Please print out and fill in. Send in form with your hair) Name___________________________ Name___________________________ Contact Information Phone___________________________ Address___________________________ Ship To: Line2___________________________ City___________________________ Postal Code_______________ State/Province___________________________ Choose Product ($280) Phone___________________________  

Hip Hats With Hair  108 West Adalee Street   Tampa, FL 33603    1-877-447-4287

Card Number___________________________ Shipping Within the U.S. ( includes extra insurance) Signature___________________________ Please call me for my credit card number. email___________________________ Check Enclosed ( checks must clear before shipping) Payment: Bill To:___________________________   Comments: Comments: International Shipping (we will contact you with rates) Head Measurement:_______

Take a tape measure
around the fullest
part of your head,
above the brows.

email___________________________