Dania Jai-Alai
Pro Shop Order Form
Your Name-
Address-
City, State, Zip-
Phone-
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Item Size (circle) Quantity Price Total
White, Tan
or Black T-Shirt
Med - Lrg - XL
XXL
______
______
$8.50
$9.50
__________
__________
__________
Denim
Shirt
Med - Lrg - XL
______
$25.00
__________
Blue Polo Shirt
Med - Lrg - XL
______
$25.00
__________
Natural Polo w/Trim
Shirt
Med - Lrg - XL
______
$25.00
__________
Beige Cap
______
$10.00
__________
Black/Red Trim
Cap
______
$10.00
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Sub-total
Sales tax (FL 6%)
__________
__________
Shipping $5.25 in USA (covers up to 3 shirts), $1.75 for each additional
International orders $8.50 (covers up to 3 shirts), $2.00 for each additional
__________
Total __________
Please send this order form along with your payment
By check or money order payable to:
Dania Jai-Alai
301 E. Dania Beach Blvd.
Dania Beach, FL 33004
Attn: Pro Shop
Credit card orders:
Call (954) 927-2841, or 
Fill in below, sign, and mail
or fax (954) 920-9095:
Card: VISA MC Amex Discover
Number:
Expires:
Signature:
Please allow 2-3 weeks for delivery (we'll try to get it there much sooner).


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