Hawaii Lure Skirt / Squid Order Form
***Printable Order Form***
Color Code #
Skirts
Squid
With Eyes?
Price Each
Quantity
Total Price
Sub TOTAL
Shipping
US - 10%
International - 15%
Credit card orders may be phoned, faxed 
or mailed in with order Please send Order Form with Check or Money Order to:
Hawaii Lure 45-343 Namoku ST Kaneohe, Hawaii 96744
Shipping ___%
COD Fee $5.00
TOTAL $

Please provide the following information:
NAME CHECK
COMPANY MONEY ORDER
ADDRESS C.O.D.
City/State/Zip Visa
CARD #
EXPIRATION
American Express
SIGNATURE__________________________________ Discover/Novus
PHONE # MasterCard
Email (Optional) Fax (Optional)

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SHIPPING INFORMATION

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