ORDER FORM

Item Description

Price

Qty.

Total

YOUR MAILING ADDRESS

Name:

Address:

City:

State:

Zip Code:

(Area Code) and Phone Number:

Email Address:


POSTAGE: All prices are post paid in the U.S.


HOW TO PAY: Send check or money order (made out to Summerjack), payable in U.S. dollars only.
SEND YOUR ORDER TO:
Summerjack
6 Hearst
Aliso Viejo, CA 92656
email: webmaster@summerjack.com

Instructions.
1. Type in the items you would like to purchase.
2. Fill in your mailing information.
3. Print this page out and mail it to the above address. Don't forget to include the proper funds.