Please fill out the form below to order T-shirts or Sweatshirts. By clicking the submit button the information on the form will be automatically mailed to WWW.COOSCYCLE.COM

We will process your order promptly
Please be sure to fill in all feilds, we cannot process your order with missing address's etc.

T-shirt and Sweatshirts details click here
Click here for a printable page you can mail or fax to us


E-Mail
  
Phone#

Your Name
Street

Town/City
Zip/Postal Code

State/Province
T-shirts and Sweatshirts add $5.00 shipping to freight
AZ and CA residents add 6% tax
Short Sleeve T-shirt $18.00 each
How many Short Sleeve T-shirts
Total
Long Sleeve T-shirt $28.00 each
How many Long Sleeve T-shirts
Total
Sweatshirts $37.50 each
How many Sweatshirts
example: 1/Hooded 1/No Hood
Total


We accept Visa and Mastercard
Sub Total
Arizona residents add 6% tax
Tax
T-Shirt orders add $5.00 shipping
(if order is Catalog only $0.00 shipping )
Frieght
Total of order
Total Due


Visa or Mastercard info
Orders can only be mailed to the billing address of your card
For a printable form click here, print and mail or fax your order

Yor Visa or Mastercard info


Your Name as it appears on your card


Credit Card Number


Card Expiration Date


Total Purchase amount


Comments or information you feel we may need or where you heard about us


Coos Cycle Supply
995 S. 2nd Street
Coos Bay Oregon
Voice (541) 269-7292, fax (541) 269-7292