Bouré Cycling Clothing Order Form

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

Bouré Bicycle Clothing
616 Ford Dr
Durango, CO 81301

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
USPS Shipping in the USA: Free
UPS Ground: $15
FedEx 2Day: $25
FedEx Priority Overnight: $75
USPS International: Will Quote Shipping Options

Subtotal

6% Sales Tax
(CO Only)

Shipping

TOTAL

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 USPS Shipping in the USA: Free UPS Ground: $15 FedEx 2Day: $25 FedEx Priority Overnight: $75 USPS International: Will Quote Shipping Options					Subtotal
					6% Sales Tax (CO Only)
					Shipping
					TOTAL