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Jacket Order Form The easiest way to order is by phone. Toll Free: 877- 456- 4412 7am - 10pm MST. Please have the following information ready when the order is called in. Please check one: Ship to Hawaii Total $51. _____ ($45. +$6. Priority US Mail) Pick up in Vegas Total $45. _____ Name:__________________________________________________ Card Type:_________ Card Number:______________________ Expiration Date:__________Card Security Code:__________ Address Line 1:_________________________________________ Address Line 2:_________________________________________ City:____________________State:__________ Zip Code:_______ Email Address:________________________ Home Telephone:______________________ Shipping Address:_______________________________________ Signature_______________________________________________ Sizes Available: Small, Medium, Large, Xlarge, 2X, 3X, 4X, 5X Colors Available: Navy, Royal, Red, White
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