Order Form

Quantity	Price	Code	Description
	$15.00	DB-T	DiveBalm Short T-shirt INCLUDES FREE STICK OF DIVEBALM!! specify color (white, orange, yellow) and size (M, L, XL) in an email
	$20.00	DB-LT	DiveBalm Long Sleeve T INCLUDES FREE STICK OF DIVEBALM! specify size (M, L, XL) in an e-mail
	$2.50	DBv	HORNY GORILLA VANILLA DiveBalm .15 oz tube
	$2.50	DB-bc	Once you try BLACK CHERRY You'll never go chapped! .15 oz tube
	$2.50	DBO	ORANGE-YA GONNA KISS ME? DiveBalm .15 oz tube
	$2.50	DBP	PEPPERMINT-SHMEPPERMINT DiveBalm .15 oz tube
	$2.50	DBC	Lick My COCONUTs .15oz tube
	$2.50	DBM	It Takes Two to MANGO .15 oz tube
	$2.50	DBG	GRAPE Balls of Fire .15 oz tube
	$2.50	DBH	HONEY Do Me .15 oz tube
	$2.50	DBB	Bite My BANANA .15 oz tube

Bold = Required

Italic = Optional

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"Divebalm" and "Keeps your lips moist when you're going down!" are Registered Trademarks of Divebalm, LLC
Copyright � 2000 Divebalm, LLC. All Rights Reserved.
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Last updated: 02/24/2001