13225 C. R. 250, Durango, Colorado 81301
Phone: (970) 247-4260 Fax: (970) 247-4955

Flash Target™ Order Form

Print out this form through your browser, and fax or mail your order.


Your Name: _____________________________________________________________

Your Company Name: _____________________________________________________

Billing Address:___________________________________________________________

                            ___________________________________________________________

Phone: _________________________ Fax: ____________________________________

E-Mail: _________________________________________________________________

Order:
Amount Desired
l Flash Target™ (Model #DK8 MKll)
-
$159.95 each*
    $                          Total
Subtotal
    $                          
+ Colorado Residents Only Add Sales Tax of 5%     $
Subtotal (without shipping charges)
    $

Payment: Order by credit card or money order only. No COD orders accepted.
Payment will be processed on all orders at time of ordering.
Cashiers Check  or   Money Order
   Visa/Mastercard Account Number: _______ - _______ - _______ - _______
         
          Expiration Date: _______ - _______
         
          Name on Credit Card: ____________________________

Signature Required if Using Credit Card:
_______________________________________________

Shipping Address: (if other than listed above)
Name: _____________________________________________________

Shipping Address:________________________________________________________

_______________________________________________________________________