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  FLIP STICK OUTDOORS INC.         Order Form

                                                                                                                 
                                      (Please Print)                                   Date: ________________

Company Name: _____________________________________________________

Name: _____________________________________________________________

Address: _______________________________ City: ________________________

State: ________ Zip: _____________ Email: ______________________________

                                                                                                                                
Unit
      Item #            Quantity                     Description                       Price            Total

        0009         Pee Wee - no glow        6.99  
        0029          Pee Wee - glow in the dark        6.99  
        0010          Original - no glow          7.99  
        0020          Original - glow in the dark         7.99  
      0011          Big Game - no glow        10.99  
        0021          Big Game - glow in the dark       10.99  
      0014        Big 3 Pak - no glow       22.95  
      0024          Big 3 Pak - glow in the dark         22.95  
          Shipping        0
          Subtotal  
            Tax %        0
       Grand Total  

 Please make all check's or money order's payable to: Flip Stick Outdoors Inc.
 610 N. Pine Hill  Pinehurst, TX  77362     (281) 259-1752
 There will be a 3 day hold on all check's before shipping.    
Thank You!

  
        PAY BY CREDIT CARD!

 Call your order in or make your payment by filling out this form and mailing it to the address above.
 Credit Card Information for payment:
 Card type _________________________________
 Name on card ______________________________
 Card Number _______________________________
 Expiration Date ____________________ Three or four digit security code _______________
 

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