Dirtbags Bar Order Form

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Phone: 520-326-2600

1800 E Speedway Blvd.

Fax: 520-795-9822

There are a number of ways to order Dirtbag's Apparel.

1) You may use our PRINTABLE ORDER FORM, and send it by mail with a Money Order, or by fax with a Credit Card.

2) You may use the form provided below to send your order via email. If you choose not to input your credit card number then you will be contacted to confirm order and receive your credit card information.

3) Call us and place your order at (520) 326-2600

*Required

Name*	City*	State*
Address*	Zip*
Email*	Phone*
Credit Card Number
Expiration Date

Quantity	Item	Price	Quantity	Item	Price
	M T- Shirt	$12.00		S Tank Top	$12.00
	L T- Shirt	$12.00		M Tank Top	$12.00
	XL T-Shirt	$12.00		L Tank Top	$12.00
	XXL T-Shirt	$14.00		Baby T	$15.00
	Baseball Hat	$15.00		L Sweatshirt	$35.00
	XL Golf Shirt	$25.00		XL Sweatshirt	$35.00
	Large Golf Shirt	$25.00		Golf Towel	$15.00
				Gift Certificates

When filling out the above form please be sure to include your Email, and Phone Number so we may contact you and confirm your order. Shipping Charges: $6.00 for one item, and $2.00 for each additional item.

bartender@dirtbagsbar.com