Print this form for Flags and mail it to the address below.
 


Flag Order Form
For Flag & Shape Orders
 

 

Name:    _________________________________________________________

Yacht Club:   ______________________________________________________
Address:  ________________________________________________________
City:  ________________________

State/Prov:  ___________________

Country:  _____________________

Postal Code:   _________________

Phone: ( ___ ) _________________  

Fax:  ( ___ ) ___________________

E-mail Address:  ______________   @

_______________________________

 

Item Name

Size

Quantity

Price

Total

_________________

Size ____ x ____ Qty ____  _______ $ ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________
_________________ Size ____ x ____ Qty ____  _______   ________

____________________________________________________________ 

  ________

____________________________________________________________ 

  ________

____________________________________________________________ 

  ________
Sub Total:  $ ________
California Residents add 8.0% sales Tax:  ________
Handling Charge:: 15.00
Shipping :  $12.00
Total: $________
 
Send Check or Money Order Payable to:
Halling Enterprises
2622 Kempton Drive
Los Alamitos CA 90720 USA
 
 
Most orders are shipped in 4 to 6 weeks
 

* For large or International Orders, send us your address by
 e-mail and we will quote you the shipping charges.

Halling@BurgeeShoppe.com