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Ordering is simple, just print this form, fill it out and mail it...easy!

Product Request Form:
CHECKS PAYABLE TO: A J'S OUTDOORS, INC.
MAIL TO: BOX 76167
TAMPA, FL  33675
(813) 259-9884
ORDER BY FAX
(813) 258-0303
 
Payment By:      CHECK _____      M.O. _____     VISA _____     MC _____
#                                
EXPIRATION DATE REQUIRED        
Cardholder's Name: _____________________________________________
Cardholder's Signature: ___________________________________________
 
SOLD TO:
Name: _______________________________________________________
Address: _____________________________________________________
City: __________________________ State: ____ Zip: _________________
 
SHIP TO:
Name: _______________________________________________________
Address: _____________________________________________________
City: __________________________ State: ____ Zip: _________________
PRICING:
FS-18-1     1 @ $11.95 / 2 @ $10-95 Each / 3 @ $9.50 Each
FS-24-1     1 @ $12.95 / 2 @ $11-95 Each / 3 @ $10.50 Each
 
SHIPPING & HANDLING:
1 Unit - $3.95 2 Units - $4.95 3 Units - $5.95
 
Model No. No. Units Unit Price Total
FS-18-1     $
FS-24-1     $
Subtotal     $
Shipping & Handling (See Above) $
Florida Residents Add 6.5% Sales Tax $
Amount Enclosed $