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	______________________________

PRIVACY TO GO ORDER FORM
SIZE, STYLE AND ITEM	NUMBER/COLOR	PRICE EACH	TOTAL
PRIVACY TO GO	#	$57.95	$
SUPER PRIVACY TO GO	#	$69.95	$
SAND PEG MALLET	#	$4.99	$
subtotal cost for above items			$
6 % sales tax on items above - PA only - SORRY PA people!!			$
TOTAL FOR ABOVE ORDER			$
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 CHARGE FOR PAREOS (shipped free with PRIVACY TO GO order)			$
UNITED STATES SHIPPING - $12.95 - EAST of Mississippi for either Privacy $15.95 - WEST of Mississpii for either Privacy $5.00 for EACH additional Privacy or Super Privacy CANADA SHIPING- $18.95 FOR either Privacy $5.00 for EACH additional Privacy or Super Privacy ORDER PRIVACY TO GO AND YOUR MALLET IS SHIPPED FREE CLICK HERE FOR INTERNATIONAL/CANADIAN SHIPPING RATES			$
if you prefer UNITED PARCEL shipping, add $5.00 surcharge for total order otherwise orders are shipped by Priority Mail ---> 2-3 day delivery			$
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