Please complete this form so that we can process your order as soon as possible. Kindly make your checks payable to Purva Dave. Your order will be processed and shipped upon the receipt of the check and based upon availability of inventory.

All orders will be confirmed by email and then verified by telephone. Checks should be made payable to Purva Dave and mailed to:       138 Patriots Road       Morris Plains       NJ 07950 Sales tax of 6% should be added to all orders. Items can be picked up by appointment or the cost of shipping and handling will be added       to the order. Please feel free to call [ (973) 401 1321 or (973) 714 8625 ] with any questions prior to placing       your order or to arrange an appointment to view our selections.

Name: Street Address: City: State: Zip Code: Phone: Email: I would like to place an order for: [Men's wear]           Item No: [Women's wear]    Item No: [Miscellaneous]      Item No:   Questions Or Comments: