Red Hot Pepper Spray - D&D Security Products
Red Hot Pepper Spray - D&D Security Products
Red Hot Pepper Spray - D&D Security Products
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Mail Order Form<br />
Your Name ____________________________<br />
Company________________________ (optional)<br />
Billing Address for credit card purchase<br />
Street Address ______________________________<br />
______________________________<br />
Billing address must match the<br />
address on your credit card account<br />
City __________________________________ State ______________ ZIP ______________<br />
Phone (optional) ______________ E-Mail (Optional) __________________________________<br />
VISA, Master Card, or Discover<br />
Credit Card Number _________________________ Exp. Date<br />
_________ 3 Digit Code ______<br />
ITEM CODE QTY DESCRIPTION UNIT PRICE<br />
__________ _____ _______________________________________________ __________<br />
__________ _____ _______________________________________________ __________<br />
__________ _____ _______________________________________________ __________<br />
__________ _____ _______________________________________________ __________<br />
__________ _____ _______________________________________________ __________<br />
__________ _____ _______________________________________________ __________<br />
Shipping Address<br />
Name ___________________________________<br />
Address _________________________________<br />
_________________________________<br />
City ____________________ State ____ ZIP _________<br />
Sub Total _____________<br />
Tax 6.875% __________<br />
(Minnesota Residents Only)<br />
S&H ___________<br />
TOTAL ____________<br />
Mail Your Order to:<br />
D&D <strong>Security</strong> <strong>Products</strong><br />
PO Box 5863<br />
Rochester, MN. 55903<br />
Shipping & Handling Charge<br />
$7.45 for Orders up to $50.00<br />
$8.95 for Orders over $50.00<br />
$10.45 for Orders over $100.00<br />
6% of Total for Orders over $200.00<br />
If Paying by Check:<br />
Make Check Out to D&D <strong>Security</strong> <strong>Products</strong>
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