PRINT THIS FORM AND FAX OR MAIL TO THE ADDRESS BELOW
or click HERE and just give us all the information about your order as an e-mail
or click HERE to use our SECURE on-line order for

NAME ------- _________________________________________
ADDRESS --_________________________________________
CITY --------- _________________________________________
STATE--------_______ ZIP __________
click here to see Shipping information

Where did you first hear about us?

Islands ___

Caribbean Travel/Life ___

Naturally ___

The Bulletin ___

N/N ___

other ___________________

Hawaii ___

your phone number in case I have a question --------- ____________________
e-mail address (your address - I know mine!) ---------_____________________
MY phone number in case YOU have a question --- 717-243-1607
NOTE ---> (this information will NOT be released to any mailing or solicitation lists)

MASTERCARD/VISA

# ______________________________

SORRY - no American Express

name on card

______________________________

expiration date ____/____

signature

______________________________

BEACHAIRORDER FORM
ITEM
COLOR
NUMBER
PRICE
COST FOR EACH COLOR
BEACHAIR
FOREST GREEN

#
$39.95

$
BEACHAIR
ROYAL BLUE

#
$39.95

$
STUFF SAC
BLACK

#
$7.95

$

SUBTOTAL FOR CHAIR AND STUFF SACK

$
6 % sales tax on subtotal - PA ONLY - SORRY PA people!!

$

SHIPPING/HANDLING FEE (same cost applies for any number of chairs)
NOTE - shipping for Canada is $12.95 for ONE Beachair and $17.95 for two or more
$ 9.50 for USA
$12.95 or $17.95
for Canada

if you prefer UNITED PARCEL shipping, add $5.00 surcharge for total order
otherwise orders are shipped by Priority Mail ---> 2-3 day delivery

$

CLICK HERE FOR INTERNATIONAL/CANADIAN /SHIPPING RATES
$

GRAND TOTAL COST FOR BEACHAIRS AND STUFF SACKS

$
THANKS VERY MUCH FOR YOUR ORDER
FAX (717-243-1607) this completed form with credit card information
(NOTE - PRESS "SEND" FAX KEY IMMEDIATELY AFTER DIALING)
or MAIL the form with check, money order or credit card information to:
Cabana To Go, PMB 15 - 210, Department W, 950 Walnut Bottom Road, Carlisle, PA 17013-7601 USA