Lou's Pier 47 - Mail Order Form

ITEM SIZE QUANTITY Per Price PRICE
Black T-Shirt
w/Sax man Logo
 Large
X Large
XX Large		 1
more  ______
@ $25 each =
 $
Lady's T-Shirt
w/Sax Man Logo
 Small
Medium
Large		 1
more  ______
@ $25 each =
 $
Sweat Shirt
 Large
X Large		 1
more  ______
@ $30 each =
 $
Hats
Black or Tan
 One Size Fits All 1   BLK or TAN
more  ______
@ $25 each =
 $
Restaurant Menu
One Size
 1
more  ______
@ $20 each =
 $
Souvenir Shop Glass
 One Size 1
more  ______
@ $5 each =
 $
Souvenir Pilsner
 One Size 1
more  ______
@ $8 each =
 $
SF Best of The Blues CD
   1
more  ______
@ $20 each =
 $
California Residents please add 8.25% sales tax=
 $
TOTAL=
 $
Name:
  __________________________________________________________
Street Address:
  __________________________________________________________
City:
  __________________________________________________________
State:
  __________________________________________________________
Postal Code:
  __________________________________________________________
Email Address:
  __________________________________________________________
Please send Check or Money Order + $3.00 Shipping to:
LOU'S PIER 47
Attn: Mail Order
300 Jefferson St.
S.F., CA 94133
California residents must add sales tax.
Tax will not be added for out of state purchases.