Capt-Jack Printable Tackle Order Form
NAME ____________________________________SHIPPING ADDRESS _________________________________
CITY, STATE, ZIP ____________________________ DAY TIME PHONE (_____)___________
QUANITY_____ $________ "CJ-SPECIAL #1" |$4.oo each
___RED___BLUE___YELLOW___ORANGE___SILVER___PINK
QUANITY_____ $________ "CJ-SPECIAL #2" |$4.50 each
___RED___BLUE___YELLOW___ORANGE___SILVER___PINK
QUANITY_____ $________ CJ's-"SUPER HOOCHIE" |$4.50 each
___RED___RAINBOW___PURPLE___ORANGE___GREEN___CHARTREUSE___PINK__BLUE__BLACK
QUANITY_____ $________ CJ's-"DOUBLE HOOCHIE" |$5.50 each (choose 2 colors)
___RED___RAINBOW___PURPLE___ORANGE___GREEN___CHARTREUSE___PINK__BLUE__BLACK
QUANITY_____ $________ CJ's-"HOOCHIE BUG" |$5.00 each
___RED___RAINBOW___PURPLE___ORANGE___GREEN___CHARTREUSE___PINK__BLUE__BLACK
QUANITY_____ $________ CJ's-"FAT BUG" |$3.oo each
___ORANGE___GREEN___PERCH___PINK___CHARTREUSE___FIRETIGER
QUANITY_____ $________ CJ's-"GOLDEN FAT BUG" |$4.50 each
___ORANGE___GREEN___PERCH___PINK___CHARTREUSE___FIRETIGER
QUANITY_____ $________ CJ's- "SUPER FAT BUG" |$4.oo each
___ORANGE___GREEN___PERCH___PINK___CHARTREUSE___FIRETIGER
QUANITY_____ $________ CJ-"LIGHTING BOLT SPOON"|$3.oo each
___RED___BLUE___YELLOW___GREEN___SILVER___ORANGE___PINK___YELLOW/ORANGE
QUANITY_____ $________ CJ-"JACK BLADE" DODGER|$4.oo each
___RED___BLUE___YELLOW___GREEN___SILVER___ORANGE___PINK___YELLOW/ORANGE
QUANITY_____ $________ CJ's-"DOUBLE JACK BLADE" DODGER|$7.oo each
___RED___BLUE___YELLOW___GREEN___SILVER___ORANGE___PINK___YELLOW/ORANGE
QUANITY_____ $________ CJ's -"SIX SHOOTER" BALL TROLL|$10.oo each
QUANITY_____ $________ CJ's -"STACKER HARNESS"|$6.oo each
QUANITY_____ $________ CJ's -"YELLOW RELEASE"|$7.oo each
QUANITY_____ $________ CJ's -"HARNESS & RELEASE SYSTEM"|$11.oo each
QUANITY_____ $________ CJ's -"SHAVER LAKE, KOKANEE HAT"|$10.oo each
ORDER TOTAL $____________ +PACKAGE & SHIP $ 4.oo (ORDERS OVER $100 FREE P/S)
INCLUDE CHEQUE OR MONEY ORDER PAYABLE TO: JACK YANDELL
P.O. BOX 227 SHAVER LAKE, CA 93664