Street
City and State Zip Code
Telephone Number (Day) (Evenings)
Hat Style
Color
Size
Head measurement in inches Your normal hat size (optional)
Price
+ Shipping and Handling $12 or Overseas (see below)**
Total
Payment in U.S. Funds Only
( ) Check ( ) Money Order
( ) VISA ( ) MasterCard ( ) Discover
Credit Card Information (Note toVISA card users: Please include the 3-digit "V code" found to the right of your account number on the signature strip of your credit card.)
Account Number (including V code if applicable)
Expiration Date
Name as it appears on card
Any special requests or instructions?