Please print out this form and fax or mail it to us at the address below.

Attention: Apparel Order Form
Bass Barbarians Inc.
5216 Wall Avenue
Richmond, CA 94804

Phone: (510) 234-6267
Fax: (510) 237-8900
Website: www.bassbarbarians.com
Email: bassbarbns@aol.com

Ship To: _________________________
________________________________
________________________________
Phone: _______________ Fax: _______________
Email: ____________________ Order Date: _______________
Credit Card #: ____________________ MC / VISA (circle one)
Credit Card Expiration Date: ____________________


Conditions of Sale - for specific options, see our apparel inventory

Hats are $13.00 plus $3.00 shipping/handling

T-Shirts are $13.00 plus $3.00 shipping/handling

Polo Shirts are $17.00 plus $3.00 shipping/handling

Item No.	Description	Color	Price	Quantity	Shipping Fee	Total
example: H01	Hat	Tan	13.00	1	3.00	16.00
ORDER TOTAL: