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

Bouré Bicycle Clothing
98 Everett Street, Ste B
Durango, CO 81303

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

 

Qty Item # Color Size Description Unit Price Total
             
             
             
             
             
             
             
Shipping Options
Free USPS Shipping in the USA: $0
UPS Ground: $15
FedEx 2Day: $20
FedEx Priority Overnight: $40
USPS International: Will Quote Shipping Options
 Subtotal
 
2.9% Sales tax
(CO Only)
 
 Shipping
 
 TOTAL