Please print this form and mail to: Pacific Paddler
PO Box 300345
Ka'a'awa, HI 96730
or email info@pacificpaddler.com
please include phone # or email_________________________________

Riggers Quick Straps, how to use

Please send______Quick Straps for outrigger canoes @ $27 each
or $35 International destinations - includes shipping & handling

______My check is enclosed or charge my Visa____MasterCard____ American Express______

Credit Card Information

Name on your card________________________________________________

cc number____________________________________________________

Expiration date _____/_____ Security code__________

Signature___________________________________________

Total amount to charge $_____________________

Please send to: Name__________________________________________________

Address_____________________________________________________________

Address_____________________________________________________________

Address_____________________________________________________________