Cactus Margarita™ - Print and Fax Order Form

SHIP TO:
Name  
Shipping
Address
    
City, State, Zip  
Area Code & Phone Number  
 
Description Price Shipping Total
Cactus Margarita Mix 12 oz.
4 Pack $30.00 $15  
6 Pack $43.00 $25  
12 Pack $84.00 $40  
 
Cactus Margarita Mix 33 oz.
2 Pack $30.00 $15  
4 Pack $56.00 $25  
6 Pack $85.00 $40  
12 Pack $165.00 $50  
 
Official Cactus Margarita T-Shirt
 $18.95
$5  
 
Cactus Daiquiri - 12 oz.      
4 Pack $30.00 $15  
6 Pack $43.00 $25  
12 Pack $84.00 $40  
 
  Sub Total
 
  Tax 8.25% (Texas res. only)
 
  TOTAL
 
       
Credit Card No.     Expiration Date:  
Circle One: MC VISA DISCOVER      
 
Please print and mail or fax your order to:
Cactus Margarita™
Distributed by Beth Zies
113 E. Live Oak, Seguin, TX 78155

FAX: 830-379-7062