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 form

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

______________________________

PAREO ORDER FORM
NUMBER ORDERED
PAREO STYLE/NAME
PRICE EACH
$19.95 for full-sized
$16.95 for bikini wrap
TOTAL

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$

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$

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SUBTOTAL FOR PAREOS

$

US SHIPPING AND HANDLING FEE IF ORDERED WITH CABANA OR UMAN SANDALS

FREE

SHIPPING/HANDLING FEE IF NOT ORDERED WITH CABANA
orders are shipped by First Class or Priority Mail ---> 2-3 day delivery
(same shipping cost applies for any number of pareos to USA or Canada)
CLICK HERE FOR
INTERNATIONAL SHIPPING RATES

$ 4.95 for USA

$5.95 for Canada

if you prefer UNITED PARCEL shipping, add $5.00 surcharge for total order

$

GRAND TOTAL COST FOR ORDER

$

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 17015 USA