Lotz-a-Love Bowtique - Fill your life with Lotz-a-Love
 
Please use this form to order by Credit Card if you do not have a paypal account.
Order Form
Name
Address
Phone Number
Email Address
What Would you like to order?
When is the best time to contact you?
Hours
 
 : 
Minutes
 
When do you need it by?
Name on Credit Card
Type of Credit Card
Credit Card Number
Credit Card Experation Date
3 digit verification number (located on the back of card)
Ship to
Address
City
State
Zip Code
 
Items will ship out as soon as payment is recieved.
 
To order by mail please send the order fom along with a Check or Money Order to:
 
Lotz-a-Love Bowtique
c/o Lisa Marie Lotz
1515 N. Pembroke Dr
South Elgin, IL 60177
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Website provided by Vistaprint
Website
provided by Vistaprint