| Print out this form and send it with your check or money order to: |
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Pacific Sunset Surfing Apparel
30320 Live Oak Canyon Rd.
Redlands, CA 92399-0668 |
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Name_______________________________________ |
Address_____________________________________ |
City_____________________________State_________Zip___________ |
Email______________________________________________ |
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| Color: |
White |
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Price |
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Quantity |
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| Medium |
short sleeve |
with pocket |
$11.00 |
x |
________ |
= |
________ |
| Medium |
short sleeve |
without pocket |
$10.00 |
x |
________ |
= |
________ |
| Medium |
long sleeve |
with pocket |
$16.00 |
x |
________ |
= |
________ |
| Medium |
long sleeve |
without pocket |
$15.00 |
x |
________ |
= |
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| Large |
short sleeve |
with pocket |
$11.00 |
x |
________ |
= |
________ |
| Large |
short sleeve |
without pocket |
$10.00 |
x |
________ |
= |
________ |
| Large |
long sleeve |
with pocket |
$16.00 |
x |
________ |
= |
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| Large |
long sleeve |
without pocket |
$15.00 |
x |
________ |
= |
________ |
| XL |
short sleeve |
with pocket |
$11.00 |
x |
________ |
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| XL |
short sleeve |
without pocket |
$10.00 |
x |
________ |
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| XL |
long sleeve |
with pocket |
$16.00 |
x |
________ |
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| XL |
long sleeve |
without pocket |
$15.00 |
x |
________ |
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| XXL |
short sleeve |
with pocket |
$11.00 |
x |
________ |
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| XXL |
short sleeve |
without pocket |
$10.00 |
x |
________ |
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| XXL |
long sleeve |
with pocket |
$16.00 |
x |
________ |
= |
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| XXL |
long sleeve |
without pocket |
$15.00 |
x |
________ |
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Subtotal |
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Sales Tax .0775 (CA only) |
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Shipping($ 2.00 per shirt) |
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Total |
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