USA Tailor Shops 4754 Commercial Dr.            

New Hartford, NY 13413 Ph.315-7361452        

 Return Shipping Address                                   

Name-----------------------------------           

Street-----------------------------------        

City-----------------------------------ST.-------Zip-------

Item To Be Alter-------------------------Ph[------]----------------------------

SleeveShoten [----------]                  [$----------]

SleeveLonger[----------]                   [$----------]

WaistSmaller[----------]                      [$----------]

WaistLarger [----------]                       [$----------]

PantsInseamW/Cuff[----------]         [$----------]

PantsInseamNoCuff[---------]            [$----------]

JeansInseam[----------]                        [$----------] 

Check,Money Order
                                               Sub.Tot. [------------                                                

                                 
                                 Shipping Chrg. [--$10.00----]

                                                 Total  [---------------]                     

Less 20% -------------------------------[---------------]
 
MC-------------------------------VS--------------------------------------                 

AE---------------------------------DS-------------------------------------