Order Form for Pakol

Pakol price: $25

Please print this form and fill out the information below. Then mail it with your payment check (price of pakol & shipping) to:

MUSTAFA QAZI
P.O. BOX 11604
PLEASANTON, CA 94588

If you cannot print the form below, somehow provide the information below with your payment check. The information below is necessary to process your order.

Name _________________________

 
Address _________________________

 
  _________________________

 
  _________________________

 
Email _________________________

 
Phone
(Optional)		 _________________________
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Quantity _______

 
Color Traditional Brown

 
Note: Please indicate a 1st and 2nd choice for color

 
Size* (circle) Small    Medium    Large

 
Comments: _______________________________

 
  _______________________________

* The pakols are handmade and so there is no exact system of measurement.  However a person with a head measuring 22 inches or close to it will require a medium.  Also, the pakols do stretch to accommodate small differences.