"SEND IT TO FORTUNA'S" HANDBAG AND LUGGAGE REPAIR FORM
Please print this form and fill out completly. You may send this form and the item to
be repaired via USPS, UPS or FedEx 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: ___Visa ____Mastercard_____Amex_____Discover
Number:___________________________ Expires:_____
Cardholder_____________________________________
Security Code_______________
(found of back of Visa, MC and Discover; front of Amex)