Bill to:

Name_________________________________________________________________

Address line 1_______________________________________________________

Address line 2_______________________________________________________

City________________________ State_______ Zip Code___________________

Phone____________________ E-mail Address_____________________________


Ship to (if different from above):

Name_________________________________________________________________

Address line 1_______________________________________________________

Address line 2_______________________________________________________

City________________________ State_______ Zip Code___________________


Product:

Item  Description                        Qty   Color   Size   

1.    ________________________________   ____  ______  ____

2.    ________________________________   ____  ______  ____

3.    ________________________________   ____  ______  ____

4.    ________________________________   ____  ______  ____

5.    ________________________________   ____  ______  ____                                                 


** Corduroy $21.50 each, Sheeting & Signature Shorts are $19.50 each **

Shipping (UPS Ground):

1 pc: $4.50
2 pcs: $6.50
3 - 5 pcs: $9.00
6 - 7 pcs: $11.00
8 - 10 pcs: $13.50
10 + pcs: $16.50


Method of Payment:

_____VISA  _____Master Card  _____American Express

_____Check _____Money Order


Credit Card #_________________________________________Exp. Date______

Name as it appears on the card_______________________________________

Authorized Signature_________________________________________________