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 Ballistic Products Online Order Form
Call Toll-free  1-888-273-5623  1-888-273-5623    /   Fax  1-763-494-9236  1-763-494-9236     
(Print, then Fax or Mail to Complete Your Order)
20015 75th Avenue North
PO Box 293

FAX: 763-494-9236

Technical:   763-494-9237  763-494-9237

Corcoran, MN  55340

Toll Free:   888-273-5623  888-273-5623

Date:                                           
Ship to:                                                                           
Name:                                                                           
Address:                                                                           
City:                                 

State:

                         

Zip Code:

                       
Telephone:                                 

Fax:                                    

Email address:                                               

Part #

 Description Qty. Price (each) Total

 

        
         
         
         
         
         
         
         
         
Shipping  (calculate zone & rate)  (link will be added soon)

Pricing Worksheet (fill out)
Subtotal $                        
MN Residents - add 6.5%  sales tax $                        
Shipping $                        
UPS HAZ-MAT Charges
(Powder and primers)		 $                        
Total Due $                        
Method of Payment
Visa: _____ Mastercard: _____ American Express: _____ Money Order (by mail): _____
Account Number:   ______________________________ Exp. Date: ______________

©1999 Ballistic Products Inc.  Subject to Terms and Conditions.

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