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

______________________________

UMAN SANDAL ORDER FORM
UMAN SIZE
NUMBER
PRICE EACH
TOTAL

small

# pair

$23.95

$

medium

# pair

$23.95

$

large

# pair

$23.95

$

extra large

# pair

$23.95

$

SUBTOTAL FOR UMAN SANDALS

$

PAREO STYLE/NAME _____________________________ NUMBER_____ at $19.95 each
PAREO STYLE/NAME _____________________________ NUMBER _____ at $19.95 each
BIKINI WRAP STYLE/NAME ________________________ NUMBER _____ at $16.95 each
BIKINI WRAP STYLE/NAME ________________________ NUMBER _____ at $16.95 each

$
$
$
$

SUBTOTAL CHARGE FOR PAREOS (shipped FREE with Umans or CABANA)

$

US SHIPPING/HANDLING FEE IF ORDERED WITH CABANA

FREE

SHIPPING/HANDLING FEE IF NOT ORDERED WITH CABANA
UNITED STATES orders are shipped by Priority Mail ---> 2-3 day delivery
CANADA orders are shipped by fastest method possible
UNITED STATES
shipping - $4.95 for one pair, $5.95 for two or more pairs
CANADA shipping - $5.95 for one pair, $6.95 for two or more pairs
CLICK HERE FOR
s SHIPPING RATES

$

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