Skipper's Smokehouse Merchandise Order Form
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Complete this form and mail
it with your payment to the address on the left. Please remember
to add the appropriate shipping and handling costs to your order.
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Please fill out the form below by entering the number of items desired and the subtotal in the appropriate row. Be sure to include your order total and all payment and shipping information on your order form. Your order will be shipped within 3 weeks of receipt of payment. |
| Payment Information |
|---|
| Check/Money Order ___ Visa ___ Mastercard ___ Discover ___ |
| Credit Card Number ________________________________________________________ |
| Expiration Date ________________ Authorization Number _______________________ |
| Name As It Appears On Card ________________________________________________ |
| Signature As It Appears On Card _____________________________________________ |
| Ship To |
|---|
| Name __________________________________ Phone _________________________ |
| Address __________________________________________________________________ |
| City ____________________________ State _____ Country _______ Zip Code ________ |
| Quantity | Item Number | Item Description | Unit Price | Subtotal |
|---|---|---|---|---|
| ________ | SSTS1 | T-SHIRT - SKIPPENER TIE-DYE IN BUC COLORS [TAKE-OFF ON BUCS LOGO] Specify Size: S, M, L, XL | $ 17.00 | ________ |
| ________ | SSTS2 | T-SHIRT - WOMEN'S TANKS & SPAGHETTI TANKS [NO XXL, LIMITED IN XL] Specify Size: S, M, L, XL | $ 15.00 | ________ |
| ________ | SSTS3 | T-SHIRT - TIE DYES WITH SKIPPER LOGO Specify Size: S, M, L, XL | $ 17.00 | ________ |
| ________ | SSTS4 | T-SHIRT - SKIPPER LOGO T'S [COLORS VARY] Specify Size: S, M, L, XL | $ 15.00 | ________ |
| ________ | SSTS5 | T-SHIRT - SMOKED BY THE BLUES [4-COLOR PRINT ION WHITE T-SHIRT] Specify Size: S, M, L, XL | $ 15.00 | ________ |
| ________ | SSSV1 | SOUVENIRS - HUGGERS | $ 2.50 | ________ |
| ________ | SSSV2 | SOUVENIRS - POST CARDS | $ .25 each 6 / $ 1.00 | ________ |
| ________ | SSSV3 | SOUVENIRS - BUMPER STICKERS [BEST BLUES CLUB IN AMERICA] | $ 1.00 | ________ |
| ________ | SSAP1 | ALLIGATOR PRODUCTS - BACK SCRATCHERS | $ 10.00 | ________ |
| ________ | SSAP2 | ALLIGATOR PRODUCTS - GATOR HEADS | $ 5.00 - $ 350.00 [ASK] | ________ |
| ________ | SSHS1 | HOT SAUCE - CAPT. TOM SCORTCH BONNET HOT SAUCE | $ 4.00 | ________ |
| Order Subtotal | $ ___________ | |||
| Shipping and Handling | $ ___________ | |||
| FL State Tax (7.0%) | $ ___________ | |||
| Order Total | $ ___________ | |||