Mail Order Form
Pali Hawaii Sandals
(please print)

Date:   __________

Name: _______________________________________
Address______________________________________
(street)                               (state)          (zip Code)

Phone :  ______________Cell Phone:  _____________
Email:     ______________________________________


SHIPPING ADDRESS:

Name:    ______________________________________
Address:______________________________________
(street)                                (state)        (zip code)
QTY
STYLE
SIZE
COLOR
PRICE
TOTAL
           
           
           
           
           
           
           
Total                   $________
plus S/H             $________

GRAND TOTAL $________
Pls use this if you are mailing your check..  
Click qty to get the total price.