Please fill in the blanks and print form to mail in with your payment. We're sorry, but CORVA is unable to accept Mastercard or Visa.
First Name: Last Name:
Address:
City: State:
Zip Code:
Telephone Number - Area Code: Number:
Use drop down menus to select item, then indicate size and price for each item.
Clothing Item: #1: Orange T Shirt - Logo back/front M-L-XL $10.00 #1: Orange T Shirt Logo Back/Front - XXL $12.00 #2: Orange T Shirt Vertical logo front L-XL $12.00 #2: Orange T Shirt Vertical logo front XXL $14.00 #3: White T Shirt - S-M-L-XL $10.00 #3: White T Shirt - XXL $12.00 #4: White Long Sleeve Shirt - L-XL $18.00 #4: White Long Sleeve Shirt XXL - $20.00 #5: White Sweatshirt L-XL $18.00 #5: White Sweatshirt XXL $20.00 #6: Golf Shirts L-XL $18.00 #6: Golf Shirt XXL $20.00 #7: Jacket - Special Order - call (310) 675-7765 None Size: Price:
Use drop down menus to select item, then indicate quantity, price per item and total price for the item(s).
Misc. Item: Corva Decal - 2 5/8" x 5 1/4" $1.00 Orange Hat - Golf Type $7.00 Orange Hat - Mesh back $5.00 CORVA Mugs $5.00 None Qty: Price each: Price:
Please add up the total of merchandise ordered.
Order total:
Please add the appropriate amount as indicated in the table below.
Shipping and Handling:
Add the order total and s/h charges and indicate the amount below.
Total due (check or Money Order):
Please print this form out and mail it and your check (payable to "CORVA") or money order to:
CORVA STORE 3712 W. 147th Street Hawthorne, CA 90250
Any questions about the CORVA STORE call: (310) 675-7765