PRECISION PRODUCTS PRINTABLE ORDER FORM

PRECISION PRODUCTS PRINTABLE ORDER FORM (for email/fax/or regular mail orders)
DATE:	EMAIL:
NAME:	PHONE: ( ) -
STREET ADDRESS:

CITY:

STATE:

ZIP CODE:

COUNTY (IF IN OHIO):

* SHIPPING ADDRESS IF DIFFERENT THAN ABOVE *

NAME:	PHONE: - -
STREET ADDRESS:

CITY:

STATE:

ZIP CODE:

COUNTY (IF IN OHIO):

PAYMENT INFORMATION
*sorry no C.O.D. orders accepted*

MONEY ORDER

CASHIERS CHECK

CERTIFIED CHECK

CREDIT CARDS
VISA		MASTERCARD		DISCOVER

CARD # :

EXPIRATION DATE:

NAME ON CARD:
Statement Billing Address if different from above:
STREET ADDRESS:
CITY:	STATE:	ZIP CODE:

TELL US WHERE YOU HEARD ABOUT US! & any additional COMMENTS:	DEADEYE PRECISION SCOPE LEVELER
	ITEM	QUANTITY	PRICE	TOTAL

	PP003		36.95
	03-TACTICAL		38.95
	RBL-BR		9.95

Enclose payment & mail/email/or fax completed order form to:

PPA MFG. CO.

9 Deerwood Drive

Conway, AR 72034

Fax # 1-501-505-8211

SHIPPING & HANDLING

SUBTOTAL:

if in state of Arkansas: Sales Tax 8.25% ______ = _________

TOTAL ORDER: _______________