Capri Drive-In Promo Item Order Form
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Instructions: Fill out order form with your mailing address and the desired qty of each item you wish to order. Multilply the quantity of each item x the unit price for the total for that item. Then add $5.00 shipping and handling for each item purchased. As an example, if you ordered 2 medium t-shirts your total would be $40.00 for the shirts and $10.00 for shipping and handling for a grand total of $50.00. Allow approx. 3 weeks for delivery. |
| Ship To: |
Mail Completed Order Form and Check or Money Order To: Capri Drive-In Promotions 119 West Chicago Rd. Coldwater, MI 49036 Please be sure to provide a phone# or email address in case we need to contact you regarding your order. Please allow 10 days clearing time for personal check orders. |
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| Star Card Membership | Indicate Size of T-Shirt Here | $25.00 |
| Item | Size | Qty | Unit Price | Total Price |
| T-Shirt | Youth Small | $20.00 | ||
| T-Shirt | Youth Med | $20.00 | ||
| T-Shirt | Youth Large | $20.00 | ||
| T-Shirt | Adult Small | $20.00 | ||
| T-Shirt | Adult Med | $20.00 | ||
| T-Shirt | Adult Large | $20.00 | ||
| T-Shirt | Adult XLarge | $20.00 | ||
| T-Shirt | Adult XXLarge | $22.00 | ||
| T-Shirt | Adult XXXLarge | $22.00 | ||
| Hooded Sweat Shirt | Youth Small | $35.00 | ||
| Hooded Sweat Shirt | Youth Small | $35.00 | ||
| Hooded Sweat Shirt | Youth Med | $35.00 | ||
| Hooded Sweat Shirt | Youth Large | $35.00 | ||
| Hooded Sweat Shirt | Adult Small | $35.00 | ||
| Hooded Sweat Shirt | Adult Med | $35.00 | ||
| Hooded Sweat Shirt | Adult Large | $35.00 | ||
| Hooded Sweat Shirt | Adult XLarge | $37.00 | ||
| Hooded Sweat Shirt | Adult XXLarge | $37.00 | ||
| Popcorn Bucket | N/A | $6.00 | ||
| Frisbee | N/A | $3.50 | ||
| Shipping @ $5.00 per Item | ||||
| Grand Total | ||||