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"SEND IT TO FORTUNA'S"  HANDBAG AND LUGGAGE REPAIR FORM


Please print this form and fill out the following information.
You may send this form and the item to be repaired  via USPS, UPS,, FedEx or DHL to:

Fortuna's
7835 Woodmont Ave.
Bethesda, MD 20814

If you should have any questions, please call us at (301) 654-2533 or e-mail us.

Date:_______


Customer:______________________________________________


 Address(no PO Boxes please):______________________________

Apt./Ste:______


Business Name:_________________________________________


City:__________________ State:______ Zip:______________


Work Number: (___)-___-____ Home Number: (___)-___-____


E-mail Address:_______________________


Item:_________ Manuf:_________ Size:______ Color:______


Description of item:___________________________________


Repair(s) Required:________________________________________


_______________________________________________________


Is an estimate requested?_____________________________


Customer Needs By:_________________________________


Special Instructions:__________________________________


Payment: ___Money Order ___Visa ____Mastercard_____Amex

Number:___________________________ Expires:_____

Cardholder_____________________________________



Send it to Fortuna's



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