Bouré Cycling Clothing Order Form

ORDER FORM
*This order form is not interactive, just a form you can print out to mail or fax*

Bouré Bicycle Clothing
98 Everett Street
Durango, CO 81303
Fax: 970.247.9219

Name:

Ship address 1:

Mail address 1:

Ship address 2:

Mail address 2:

City:

City:

State:

State:

Zip code:

Zip code:

Credit card #:

Phone number:

Expiration date:

E-mail address:
To receive info on Bouré news & specials.

CVV Code:
The last 3 digits printed on the signature panel on the back of your card.

Item # Size Color Qty. Description Unit Price Total

Shipping Options
$ 5.00 - Priority Mail
$10.00 - UPS Ground
$15.00 - FedEx 2Day
$35.00 - FedEx Priority Overnight
$50.00 - FedEx Priority Overnight with Saturday Delivery

Subtotal

2.9% Sales tax
(Colorado Only)

Shipping

TOTAL

Name:			Ship address 1:
Mail address 1:			Ship address 2:
Mail address 2:			City:
City:			State:
State:			Zip code:
Zip code:			Credit card #:
Phone number:			Expiration date:
E-mail address: To receive info on Bouré news & specials.			CVV Code: The last 3 digits printed on the signature panel on the back of your card.

Item #	Size	Color	Qty.	Description	Unit Price	Total







Shipping Options $ 5.00 - Priority Mail $10.00 - UPS Ground $15.00 - FedEx 2Day $35.00 - FedEx Priority Overnight $50.00 - FedEx Priority Overnight with Saturday Delivery					Subtotal
					2.9% Sales tax (Colorado Only)
					Shipping
					TOTAL