CHILLY STICK

 Bear Logo Printable Order Form

Email: info@chillystx.com

Please Print Clearly.

Date:
Ordered By:    Ship To (if different)
NAME: NAME:
ADDRESS: ADDRESS:
CITY: CITY:
STATE: ZIP: STATE: ZIP:
PHONE: PHONE:
ITEM CODE ITEM NAME SIZE QTY COLOR UNIT
PRICE		 EXTENDED PRICE
             
             
             
             
             
             
Check for Shipping / Handling / Insurance Costs SUBTOTAL  
SHIPPING  
TOTAL  
Payment method: Make checks / money orders payable to Chilly Stick
Merchandise will be shipped upon clearance of check.

Mail form to: CHILLY STICK
268 Old County Road
East Sandwich, MA 02537

Email: info@chillystx.com