SEAWIND GIFT ITEMS ORDER FORM

ORDER FORM

Print and complete this form, then mail or fax it to us. Please print neatly and be sure to include all required information so that we can process your order without delay. Items in stock are usually shipped within two business days.

Shipping & Handling

Shipping charge is calculated on an individual basis upon receipt of your order. We will contact you with your total order amount prior to shipping. Please include your e-mail address or telephone number.

ITEM DESCRIPTION	QTY	SIZE	COLOR CHOICE	PRICE EACH	TOTAL PRICE






TOTAL MERCHANDISE
Shipping & Handling	------	------	--------------------	----------
TOTAL COST	------	------	--------------------	----------

Purchaser Information:	Ship To (if different than purchaser):
Name:	Name:
Address:	Address:

City:	City:
State: Zip:	State: Zip:
Country:	Country:
For order confirmation and shipping information only:
E-mail:
Telephone:

□ No need to call, just send my order in the most efficient manner and charge my credit card.

Credit Card □Visa □MasterCard No.______________________________

Expiration date: ____/____

Name as it appears on card: _________________________________________

Cardholder signature: ______________________________________________

Fax: (610) 384-7066 Phone: (610) 384-7000 • E-mail: seawind@seawind.net