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BLUE NORTH ORDER FORM

PRINT THIS PAGE TO SEND YOUR ORDER.

Please make your check or money order out to "John Freitas" and mail to:

60 Rapp Lane Napa, CA USA 94558

Your Email address ____________________________________________

 Please print your name and address very clearly. Thank you!

Ordered By:

Name________________________________________

Address______________________________________

City_________________________________________

State/Province_________________________________

Country__________________ Postcode____________

 

Phone ______________________________________

 

             

Ship To: (if  different  than  ordered  by  address)

Name________________________________________

Address______________________________________

City_________________________________________

State/Province_________________________________

Country__________________ Postcode____________

 

Phone ______________________________________

Quantity Item Description Price/ea T-Shirt Size
Line Total



 



 



 



 



 
  • Check or Money Order must be in U.S. dollars.
  • Checks will be held for 2 weeks to clear before shipping item(s).
  • Make payable to JOHN FREITAS.


  • SHIPPING RATES AS FOLLOWS:

    Within the US, shipping and handling is $5.00 USD, outside the

    US $7.00 USD total for the first 2 items.  Please add $2 for each additional item.

    If you have any questions, or to contact John Freitas please email : dvd@bluenorth.com

     

    		•
    Subtotal

    $______________

    Sales Tax (if California Resident add 7.75%)

    $_______________

    S & H fee

    $_______________

    TOTAL:

     $_______________