WILD BILL'S ORDER FORM

FIRST NAME:

LAST NAME:

STREET ADDRESS:

CITY:

STATE:

COUNTRY:

ZIP:

PHONE NUMBER

E-MAIL ADDRESS:

QUANTITY:
ITEM NAME:
COLOR:
SIZE:
PRICE EA.:
AMOUNT:

FL. residents add 6.5% sales tax

TOTAL

Please include $5.00 For postage, Shipping & Handling for the first shirt
and $1.00 for each additional shirt or hat.
POSTAGE

TOTAL ENCLOSED

TO PLACE AN ORDER WITH US VIA E-MAIL JUST PRESS THIS BUTTON! ALMOST AS EASY AS COMMING TO THE BAR, (BUT NOT AS MUCH FUN)


OR IF PLACING AN ORDER OVER THE "NET" DOESN'T THRILL YOU LIKE A RIDE ON ONE OF MY GAINT WOOD MOTORCYCLES......THEN FILL OUT THIS FORM, PRINT IT, AND MAIL IT ALONG WITH CC INFO, CASHIER'S CHECK OR U.S. MONEY ORDER. ALSO INCLUDE $4.00 For Postage, Shipping & Handling for the first shirt and $1.00 for each additional shirt or hat.(CANADA $5.00 U.S. PER SHIRT) OTHER COUNTRY'S CALL FOR POSTAGE INFO. OUR USUAL ORDER FULLFILMENT TIME IS SO QUICK YOU WONT BELIEVE IT!
(USUALLY, WITHIN 72 HRS YOU'LL BE WEARING YOUR NEW WILD BILL'S SHIRT!)

MAIL THIS FORM TO:

WILD BILL'S
P.O. BOX 1163
ORMOND BEACH, FL 32174

OR CALL
(386) 677 5231
PLEASE CALL AFTER 12 NOON .

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