Florida Jim Order Form
Print this page, complete in pen, and mail with check to
Jim Kaus, 2520 McCormick Road, Southport Florida, 32409
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Each |
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Trick
Hat (Specify)
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Tee Shirt - State which one, color and size |
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Western Belt Buckle (describe) |
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Cup |
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License Plate (describe)
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One Side
Photo Dog Tag |
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Two Sided
Photo Dog Tag |
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Sub total |
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Florida
Residents add 6% Sales Tax |
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Add
$5.00 Shipping and Handling |
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Total |
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Special Instructions - Include size of shirts, lettering desired
on hats, cups, and other remarks:
Name: _____________________________________________
Address____________________________________________
City, State __________________________________________
Zip____________