Name*

First Name Last Name

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example@example.com

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Area Code Phone Number

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Street Address

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Does your billing address match your shipping address? (if not, please provide your billing address)*

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Charlotte Dress - $98 - Available in sizes XS-XXL

Broadway Dress - $78 - Available in sizes XS-XXL

Parkway Vest - $98 - Available in sizes XS-XXL

Be The Good Tee - $36 - Available in sizes XS-XXL

Briley Tee - White - $36 - Available in sizes XS-XXL

Briley Tee - Black - $36 - Available in sizes XS-XXL

West Trinity Top - $68 - Available in sizes XS-XXL

Belcourt Blouse - $68 - Available in sizes XS-XXL

Bluebird Chambray - $68 - Available in sizes XS-XXL

Belmont Top - $68 - Available in sizes XS-XXL

Hillsboro Sweatshirt - Moss Heather - $58 - Available in sizes XS-XXL

Hillsboro Sweatshirt - Black - $58 - Available in sizes XS-XXL

Act With Hart Tee - Black - $36 - Available in sizes XS-XXL

Southern Charm Cardigan - $88 - Available in sizes XS-XXL

Sommerset Skinny - Blue - $98 - Available in sizes XS-XXL

Sommerset Skinny - Black - $98 - Available in sizes XS-XXL

Belle Flare Jean - $88 - Available in sizes XS-XXL

Brentwood Legging - $68 - Available in sizes XS-XXL

Eastland Jogger - $68 - Available in sizes XS-XXL

Belle Meade Denim Jacket - $98 - Available in sizes XS-XXL

Cordell Jacket - $118 - Available in sizes XS-XXL

Urban Skirt - $68 - Available in sizes XS-XXL

Bells Bend Skirt - $68 - Available in sizes XS-XXL

If you need to order more than 1 of any item above in a particular size (ex. two size M Act With Hart Tees), comment here with the additional items you need

Additional items

Does your order qualify for a promo Halloween bag (must be $150 or more)?

Yes, please add the promo bag for $15 Yes, but I am going to pass on the promo bag No, my order does not qualify for the promo item

Do I already have payment information on file for you? (if no, then I will contact you for cc info)

Yes No

Completion of this form serves as your official pre-order! Payment will be entered when I order the items in the system. The total cost will include tax and shipping for your order. These items will be shipped directly to you.

*No cancellations are allowed once pre-order is placed

*I MUST have orders by 6pm on Tuesday, September 15th

*Your payment information will be kept confidential and secure

Please share with your friends and family! Thank you so much for your continued support of my Matilda Jane business! I appreciate you so much and can't wait to see what you selected!

Good Hart September Pre-order