ZAPPER ORDER FORM

1. PRINT PAGE

2. FILL IN BLANKS

3. SEND WITH PAYMENT MADE PAYABLE TO:


Parrish
27916 Klahr Rd.
Parma ID 83660
USA

US FUNDS ONLY

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FOR: ZAPPER

CHARGE: $10 PER ZAPPER

ADD $3 S + H -- ADDITIONAL $2 ($5.00 TOTAL) OUTSIDE OF US


QUANTITY: _____

TOTAL PAYMENT: ___________



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