BAS Dress Registration

Bride's name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postal / Zip CodeCountry
Contact number*
E-mail*
Dress purchased from*
Receipt / order number (or full name of Bride)*
Purchase date*

DayMonthYear
The dress*

DesignerColourDress Name / NumberSize
Wedding Date*

DayMonthYear
Total cost of dress*
Initial amount paid*
Amount paid by cash or cheque
Amount paid by debit card
Amount paid by credit card
Type of credit/debit card
I have read, understood and agree to the RBA BAS Terms & Conditions*

Yes
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