Here is the one she sent me:
<<< BALENCIAGA ORDER FORM / REVISED VERSION Since June '05 >>>
IMPORTANT: Please read and agree to the following 3 statements before
purchase.
1. Balenciaga bags purchased for over $500/or with free shipping will be
charged a $50 re-stock fee for each bag that is exchanged or returned. We
will charge this amount to the credit card use to make the initial purchase.
2. The shipping cost of sending the item back to AlohaRag will be the
customer's responsibility.
3. If/When we are receiving a return or exchange, the package MUST be
postmarked 14 days from the date of purchase for customers in the USA and
Japan, and 21 days for customers from other countries. We have the right to
refuse the shipment if the date has already passed.
We have attached the information and order sheet for the Balenciaga below.
If you have any questions please let us know.
We WILL NOT take Balenciaga orders over the phone.
To purchase our Balenciaga merchandise, please fill out the order form
below completely; and fax it to (1)-808-589-2051.
(1) is the USA country code. We do not recommend transmitting your credit
card information by email, but we will accept order forms sent back to us by
email.
After we receive your fax, we will go ahead with the offline purchase
procedure. (Offline purchase is when the customer provides us with the
credit card information, and we finish the billing procedure offline. The
closest example would be to think that you are purchasing the merchandise
directly in our boutique.
* Please be advised that the Balenciaga collection is very popular and we
have a very limited stock. The order request will be processed on a first
come first service. Please understand that even if the order form is
Filled out completely, we will not be able to process the order if the
Merchandise becomes out of stock between the processes. *** If we do receive
your information after the inventory is sold out, AlohaRag will responsibly
destroy your credit card information.
*** We are required to perform a manual security check for all offline
order. It takes 1-2 days for domestic cards and 3-5 days for International
Cards. Please be advised that this process starts when we physically
receive
your faxed order form.
BALENCIAGA ORDER FORM <<<
a. The item number, style name of the merchandise
b. The price of the merchandise
c. The color of the merchandise
d. Card Holder's First Name
e. Card Holder's Last Name
f. Billing Address (we only ship to billing address)
g. Phone Number
h. email
i. Credit Card Number
j. Expiration Date
k. CVV number (3 digit number on back of your card for Visa, Mastercard and
Discover)
l. Statement saying we can charge you *** amount for the *****. with your
signature. Also, a statement saying you understand and comply with the 3
statements listed at the beginning of this email.
Jumpei Oki