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Last Name:         *

First  Name:      

Address:             *

Address:             *

City:                    *

State:                  *       Zip Code:     *

Age:   must be 18      *       I  understand and agree with the terms set in the disclaimer.*

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Description Price Option 1 Option 2
Standard gun $35 +Shipping 2" 1.5"
Big Burtha $45 +Shipping 2" 1.5"
Baby Bang 30 +Shipping 1-1/2" 1"
6 pack PVC Rockets $9 +Shipping 1.5" 2"
12 Pack PVC Rockets $15 +Shipping 1.5" 2"
Replacement Sparker $5 +Shipping
Extra Sparker Flints(10 pack) $2 +Shipping
BBQ Ignitor $15
Payment enclosed is in the form of: Personal Check Money Order Cash
How would you like your included info shipped? On Disk Printed Pages

SIGNATURE:___________________________________________________


If you have any questions feel free to email me.

Please make check or money order payable to:  John C. Wenger

Print out order form and mail it, along with payment to:

John C. Wenger
3301 W. San Miguel
Phoenix, AZ 85017

!!!!Product will be shipped as soon as I can construct it and ship it!!!!


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