Don Juan and Miguel Merchandise Order Form
To order, please print this form, complete it, and mail it along with your payment to the address at the bottom of the page. Please make all checks and money orders out to "Don Juan and Miguel."
| Name | ||||
| Address 1 | ||||
| Address 2 | ||||
| City | ||||
| State/Province | ||||
| Zip/Postal Code | ||||
| Country | ||||
| Phone | ||||
| ORDER | ||||
| Description | Size | Price | Quantity | Total Price |
| $ | # | $ | ||
| $ | # | $ | ||
| $ | # | $ | ||
| $ | # | $ | ||
| Shipping | please
see chart for charges |
$ |
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TOTAL
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Shipping Charges:
$0.00 - $20.00 add $4 for shipping
$20.01 - $40.00 add $6 for shipping
$40.01 - $60.00 add $8 for shipping
$60.00 - on up add $10 for shipping
Unless taking advantage of merchandise special at which time please make note
of special on order form.
Mail to:
Don Juan and Miguel • 6040 East Main Street • #125 • Mesa, AZ
85205–8928