(PLEASE USE THIS FORM AND INCLUDE WITH YOUR ORDER)
Item: ______________________________ Quantity:_______ Price:_________
Item: ______________________________ Quantity:_______ Price:_________
Item: ______________________________ Quantity:_______ Price:_________
Item: ______________________________ Quantity:_______ Price:_________
Item: ______________________________ Quantity:_______ Price:_________
Shipping:____________
Total:________________ (PLEASE PRINT CLEARLY & LEGIBILLY BELOW)
NAME:_____________________________________________________________
SHIP TO ADDRESS:__________________________________________________
__________________________________________________
__________________________________________________
E-mail address:______________________________PHONE: ________________
1.) WE CAN NOT SHIP TO POST OFFICE BOXES) 2.) USA CONT. 48 UPS GROUND SHIPPING ONLY (see Restrictions.)
WARNING, WARNING... BE FRICK'N CAREFUL... Possession & Use of Blank Cartridges is Dangerous and you do so at your own & others Risk. Blanks can and DO kill.
***YOU MUST ALSO COMPLETE BELOW AND INCLUDE WITH A PHOTO-COPY OF YOUR DRIVER'S LICECENSE OR STATE ID WITH YOUR ORDER.***
I _____________________________________________ am 21 (Print your name here) years or older and I am not in violation of any State or Federal Laws/Regulations in regard to purchasing, recieving or possessing small arms ammunition. I also understand that Possession of and Use of Blank Cartridges includes Risk/Danger to Me and Others. I do so at my own Risk and Risk to others.
(Staple, Glue or tape a Photo-Copy of your Driver's Lic. or State ID here)
PAYMENT: MONEY ORDERS, CERT. CHECKS OR PERSONAL CHECKS (ALL ORDERS WILL BE HELD UNTIL CHECK CLEARS.) ALL CHECKS AND M.O. TO: David Halseth. MAIL TO: GOPHER MUNITIONS WORKS "David Halseth" 1833 Turquoise Trail Eagan, MN. 55122-1605
THANK YOU FOR ORDERING YOUR BLANK AMMUNITION FROM GOPHER MUNITIONS WORKS. Currently, All orders typically will be shipped once weekly via UPS Ground (No Air Available) from the Eagan, MN. UPS Customer Counter.
FLAT RATE UPS GROUND SHIPPING TO CONT. 48 USA ONLY:
1 to 300rds = $14.90 UPS Shipping Charge + Blank $$ = Total.
301 to 700rds = $27.00 UPS Charge Shipping. " " "
701 to 1,000rds = $36.00 UPS Charge Shipping. " " "
For amounts over 1,000rds... use above shipping costs to factor Shipping total shiiping costs. Per eample: 1,001rds would be $36.00 + $14.90 = $50.90 for total shipping for 1,001rds. Some times orders over 1000rds might need to be broken down into multiple boxes for shipment.
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