Barn Gear Order Form

Paying by check or money order? To do so please print, fill out and return this form,
along with your payment to:
TheBassBarn.com
P.O Box 413
Mullica Hill, NJ 08062
Please Make Your Check or Money Order Payable To: TheBassBarn.com

Please provide the following contact / order information
                          ***Be Sure To Print Clearly***

Name _________________________________________________

  
Street Address __________________________________________  
Address (cont.)__________________________________________  
City ___________________________________________________  
State/Province___________________________________________  
Zip/Postal Code____________________  
Home Phone (            ) _______________________________  
E-mail _________________________________________________  
                             Description                                       Quantity                    Size
Embroidered Bass Barn Logo Cap 
Color: Khaki / Charcoal
Item: BC    Price: $15.00
Short Sleeve Pocketed Logo T-Shirt
Color: Light Steel
Item: BG100S    Price $12.00
Available In Sizes ~ 
Long Sleeve Logo T-Shirt
Color: Black
Item: BG100    Price $15.00
Available In Sizes ~ S - M - L - XL - XXL - XXXL
Logo Hooded Sweatshirt
Color: True Navy
Item: BGH100    Price: $30.00
Available In Sizes ~ S - M - L - XL - XXL - XXXL
 
Available Spring 2008
 
 
 
      N/A
Available Spring 2008
 
 
 
Order Value                             Shipping   
    From                  To                 Cost
 $0.00                 $15.00            $3.00
  $15.01               $30.00            $5.00
  $30.01               $75.00            $7.00
  $75.01               $125.00          $9.00
  $125.01              And Up          $11.00
Subtotal

Shipping

Total

 $ ___________

$ ___________

$ ___________

                                                                 Thank you for your order!