Print out this form and send it with your check or money order to:          
  Pacific Sunset Surfing Apparel
30320 Live Oak Canyon Rd.
Redlands, CA 92399-0668
       
Name_______________________________________
Address_____________________________________
City_____________________________State_________Zip___________
Email______________________________________________
               
Color: White   Price   Quantity    
Medium short sleeve with pocket $11.00
x
________ = ________
Medium short sleeve without pocket $10.00
x
________ = ________
Medium long sleeve with pocket $16.00
x
________ = ________
Medium long sleeve without pocket $15.00
x
________ = ________
Large short sleeve with pocket $11.00
x
________ = ________
Large short sleeve without pocket $10.00
x
________ = ________
Large long sleeve with pocket $16.00
x
________ = ________
Large long sleeve without pocket $15.00
x
________ = ________
XL short sleeve with pocket $11.00
x
________ = ________
XL short sleeve without pocket $10.00
x
________ = ________
XL long sleeve with pocket $16.00
x
________ = ________
XL long sleeve without pocket $15.00
x
________ = ________
XXL short sleeve with pocket $11.00
x
________ = ________
XXL short sleeve without pocket $10.00
x
________ = ________
XXL long sleeve with pocket $16.00
x
________ = ________
XXL long sleeve without pocket $15.00
x
________ = ________
      Subtotal = ________
      Sales Tax .0775 (CA only) = ________
      Shipping($ 2.00 per shirt) = ________
      Total = ________