ROBUSTO Elegant Cigar Apparel
 
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Order Form
(Review General Ordering Information)
(For Mail/Fax: Fill out Form, then PRINT it - Do not click "Submit" Button at end of Form)
Please submit a second order form if there is insufficient space for your needs.
Black "Signature" Jacket L, XL   $ 450      2XL   $475 (Less $75 for a plain jacket)
Cognac "Signature Jacket L, XL   $ 450      2XL   $475 (Less $75 for a plain jacket)
Classic Shirts L, XL   $   30      2XL   $  35   Standard pocket
L, XL   $   35      2XL   $  40   3-finger pocket
Sports Shirts L, XL   $   35      2XL   $  40
Black Tie Shirts - see Items 5 & 6 Below
Item 1:  Garment:    Size:  "Tagline:"  Number: 
                         Pocket: (Select for Classic Shirts only) 

Item 2:  Garment:    Size:  "Tagline:"  Number: 
                         Pocket: (Select for Classic Shirts only) 

Item 3:  Garment:    Size:  "Tagline:"  Number: 
                        Pocket: (Select for Classic Shirts only) 

Item 4:  Garment:    Size:  "Tagline:"  Number: 
                        Pocket: (Select for Classic Shirts only) 

Black Tie Shirts L, XL   $  40     2XL   $45
Item 5:  Garment:   Size:   Number: 
Item 6:  Garment:   Size:   Number: 
Personal Information (* = required field) 
Name:       * 

Address1:  * 

Address2:    

City:          *   State:*   ZipCode: * 

Phone:      *   e.g. 999 999-9999 Ext.9999

E-Mail:           e.g. your_ID@host.net

Would you prefer that we ship to your tobacconist? (No S/H charges)

No Yes Comments/Suggestions:(3 lines max.)

  Fill out and PRINT this form for Mail/Fax.


Last Revised: November 17, 1998
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