Order Form
(Print this form by clicking on your PRINT icon) Return to On-Line Store HELP? (321) 610-4834
Order Form
(Print this form by clicking on your PRINT icon) Return to On-Line Store HELP? (321) 610-4834
Name:______________________________________eMail:_____________________
Address:_______________________________________________________________
City:_______________________________________ State:_______ Zip:____________
Telephone:(_______)___________________ Fax:(_______)____________________
Item(s) Ordered:
Item Description Size Color Qty Price Total
_______ ___________________________ _______ ___________ ____ $______ $_______
_______ ___________________________ _______ ___________ ____ $______ $_______
_______ ___________________________ _______ ___________ ____ $______ $_______
_______ ___________________________ _______ ___________ ____ $______ $_______
_______ ___________________________ _______ ___________ ____ $______ $_______
_______ ___________________________ _______ ___________ ____ $______ $_______
Total $__________
Add 6% Sales Tax (Florida orders only) $__________
Grand Total $__________
Credit Card #: __________ __________ __________ __________ Exp: _________
Mail this order form and payment to:
PAYMENT: Check, Credit Card (VISA or MC) or Money Order, No CODs, Do not send cash Thank you for your order!
Print Cardholder's Name:___________________________________ Signature:____________________________________
GoSurf Sportswear PO Box 320605, Cocoa Beach, FL 32932 USA
Customer Service: eMail us
SHIPPING: 2-days US Priority Mail (free) - Please ask for quote for other shipping methods
GUARANTEE: Full refund for any returned product (defective or un-used) within 30 days of purchase EXCEPT CUSTOM IMPRINTED ITEMS