Double L Bar - Mail Order Form

Double L Bar T-Shirt & Pin Order Form

Print and mail this form with your credit card info, check or money order to:

Double L Bar
P.O. Box 554
Rehoboth Beach, Delaware 19971 Email: double-l@verizon.net

Bar Dog T-Shirts
Indicate quantity desired in the box to the right of each size:
Small:	Medium:	Large:	Extra Large:
Number of shirts ordered = ____________ @ $19.00 + $3.50 shipping each = Total: $_____________

The Lure T-Shirts
Indicate quantity desired in the box to the right of each size:
Small:	Medium:	Large:	Extra Large:
Number of shirts ordered = ____________ @ $19.00 + $3.50 shipping each = Total: $_____________

Logo Crest T-Shirts
Indicate quantity desired in the box to the right of each size:
Small:	Medium:	Large:	Extra Large:
Number of shirts ordered = ____________ @ $19.00 + $3.50 shipping each = Total: $_____________

Logo Crest Pins

Number of shirts ordered = ____________ @ $2.00 + $1.00 shipping each =
Total: $_____________

Order Total

Add Totals From Above: $_____________

Payment Method (circle one)
Personal Check	Money Order	Visa	Mastercard
Credit Card Number:		Expiration Date:
Signature:

Your Shipping Information
Name:
Address:
City:	State:	Zip:
Area Code + Phone:
Email Address (for confirmation):

Double L Bar T-Shirt & Pin Order Form
Print and mail this form with your credit card info, check or money order to:
Double L Bar P.O. Box 554 Rehoboth Beach, Delaware 19971	Email: double-l@verizon.net