PRINT THIS FORM AND FAX OR MAIL TO THE ADDRESS BELOW
FAX (717-243-1607) this completed form with credit card information
(NOTE - PRESS "SEND" FAX KEY IMMEDIATELY AFTER DIALING)
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 form
or MAIL the form with check, money order or credit card information to: 

 Cabana To Go, PMB 15 - 210, 950 Walnut Bottom Road, Carlisle, PA 17015 USA

CABANA TO GO - GENERAL ORDER FORM
click here to see Shipping information
SIZE
NUMBER/COLOR
PRICE EACH
TOTAL
CABANA57 - 5 by 7
not available in blue - only green

#
$49.95

$
CABANA68 - 6 by 8
check here ___ for blue canopy
check here ___ for green canopy

#
$57.95

$

SOLAR BLANKET

#
$2.95

$
SAND PEG MALLET

#
$4.99

$
PRIVACY TO GO

#
$57.95

$
SUPER PRIVACY TO GO

#
$69.95

$

short 38 inch wands - $11.99 per pair - (only $8.99 if ordered with either cabana)

$

high wind wand (one each - wand, taut-tie, yellow line and sand peg) set at $6.99

$

subtotal cost for above order

$

6 % sales tax on items above - PA only - SORRY PA people!!

$

FULL PAREO NAME /STYLE _______________________ NUMBER at $19.95 each __________
FULL PAREO NAME /STYLE _______________________ NUMBER at $19.95 each __________
BIKINI WRAP NAME/STYLE _______________________ NUMBER at $16.95 each __________
BIKINI WRAP NAME/STYLE _______________________ NUMBER at $16.95 each __________

$

total for pareos
UMAN
SANDALS
at $18.95 each

SIZE ___________ number ordered _____
SIZE ___________ number ordered _____
SIZE ___________ number ordered _____

$

total for Umans

SUBTOTAL FOR ENTIRE ORDER, INCLUDING TAXES

$

CLICK FOR SHIPPING CHARGES --->>(United States - Cananada and Mexico - International)

$

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

$

INTERNATIONAL ORDERS SURCHARGE FOR CABANAS (CLICK HERE)

$

GRAND TOTAL COST FOR ORDER

$

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

MASTERCARD/VISA

# ______________________________

SORRY - no American Express

name on card

______________________________

expiration date ____/____

signature

______________________________

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)

THANKS VERY MUCH FOR YOUR ORDER