Order Form

Buyer's Name: * Camper's Name: Mailing Address: * City: * State: * Zip: * Phone: * Email Address: * Camp Attending & Session Date: * Tagged Name:

Standard Standard Color Price ($) Qty. Subtotal Size A Pink Lime Green Red Navy Blue Yellow Orange Purple Green Royal Blue Black Size B Pink Lime Green Red Navy Blue Yellow Orange Purple Green Royal Blue Black Textile Liner Black Get "Tagged" Color: Blue Green Yellow Red White Pink Purple Rainbow

Standard Colors: Pink,LimeGreen, Red, Navy Blue, Yellow, Orange, Purple, Green, Medium Blue, and Black

Get "Tagged" Colors: Blue, Green, Yellow, Red, White, Pink, Purple, or Rainbow

Safari Standard Color Price ($) Qty. Subtotal Size A Pink Lime Green Red Navy Blue Yellow Orange Purple Green Royal Blue Black Size B Pink Lime Green Red Navy Blue Yellow Orange Purple Green Royal Blue Black Get "Tagged" Color: Blue Green Yellow Red White Pink Purple Rainbow Standard Colors: Pink,LimeGreen, Red, Navy Blue, Yellow, Orange, Purple, Green, Medium Blue, and Black Get "Tagged" Colors: Blue, Green, Yellow, Red, White, Pink, Purple, or Rainbow Safari Original Laminate Price ($) Qty. Subtotal Size A Erase Black Erase White Go Green Size B Erase Black Erase White Go Green Original Laminates: Erase, Go Green, Zebra, and Croc Note: Special Outback Lockers interiors are natural, sealed, biodegradable, plant derived material. Special Instructions if Any:

If ordering multiple "Tagged" lockers, feel free to call 1-800-890-1073.

SHIPPING: $45 PER CASE ANYWHERE IN THE CONTINENTAL US.

Subtotal Shipping Total 8.25% Sales Tax *TX only Order Total

PAYMENT METHOD Check Visa MasterCard Amex Discover

A KANGAROO CASES STAFF MEMBER WILL CONTACT YOU WITHIN 1 to 3 BUSINESS DAYS TO CONFIRM YOUR ORDER AND GIVE YOU YOUR FINAL TOTAL

Card # Exp. Date Code Billing Address (Where Statement Go) Signature