COASTAL VENTURES ORDER FORM
Please
print and complete this form.
Then send to Melinda Short with your
check at the address shown at the
bottom of this page.
Columbia Shirts –
Bonehead
Fishing Shirts with Coastal Ventures Logo
Short Sleeve at $44.00
Size (circle one): Medium Large XLarge XXLarge
Colors (circle one color): Beige White Light Blue
Long Sleeve at $46.00
Size (circle one): Medium Large XLarge XXLarge
Colors (circle one): Sage Beige White Light Blue
Sport-Tek Dri-Mesh Polo Shirt for Women at $27.00
Size (circle one): Medium Large XLarge XXLarge
Colors (circle one): White/Black Pink/White Blueberry/Navy Royal/White
Navy/White Steel/Black Black/White
Tervis Tumblers with Coastal Ventures Logo
[ ] 12 oz Tumbler for
$10.25
[ ] 16 oz Tumbler for $11.00
[ ] 17 oz Coffee Mug Tumbler for $12.50
[ ] 24 oz Tumbler for $13.00
Personalize your tumbler – 3
lines (maximum 13 spaces each line)
Add $2.75 per tumbler for this option!!!
Please provide your special personalize here:_________________
______________________________________________________
______________________________________________________
Delivery approximately two to three weeks:
Total Number of Shirts = Quantity of [ ] at $__________
Total Number of Tumblers = Quantity of [ ] at $ __________
Personalize (complete section above) at $ ________________
Total Dollar Amount = $______________
Your Name: _____________________________________________
Make checks payable to:
Melinda Short (941-497-2429)
20563 Pezzana Drive
Venice, Florida 34292