Printable Order Form
| Date |
Phone |
E-mail Address | |
| Name | |||
| Mailing Address | |||
| City | State | Zip code | |
| Address, if different | |||
| How did you hear about Hawaiian Jack? | |||
| PRODUCT | Quantity | Price Each | TOTAL |
|
Sub-Total |
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TX Residents only, add 8.25% Sales Tax |
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Add Shipping & Handling Here: See Rate Table below |
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TOTAL: Please Include This Amount With Your Order |
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PLEASE ALLOW TWO WEEKS FOR DELIVERY
SHIPPING RATES: U. S. Domestic shipping only.
| If Your Sub-Total is this Amount | Add this Amount for Shipping |
| $00.01 - $49.99 | $5.00 |
| $50.00 - $Above | $Free |
- Send your order with check or money order to:
- Hawaiian Jack
- 25407 Pepper Ridge Ln.
- Spring, TX 77373
email: information@hawaiianjack.com
