US & International Mail/Fax Order Form

Print and fill out the Form, enclose payment and mail to:

Smithrite Custom Bullets 12752 251 St. Maple Ridge, BC Canada V4R 1S4 or Fax to: 604.467.4212

Name:			Check:		Money Order:
Street:			(Payable to I.O.D. Enterprises)
City:
State:			Credit Card Payment
Zip:
Phone:			Name on Card:
Fax:			Card number:
E-Mail:			Signature:

Price in US Currency: Any Item - $44.95 per box of 25 bullets.
Item No.	Qty:	Price Each	Amount
		$	$
		$	$
		$	$
Total Extended Amount Ordered:			$
Shipping & Insurance: $7.40 - per Box:			$
* Air shipments are subject to additional shipping costs. Contact us for further information.
Total Amount of Order - USD			$

** Signature required upon delivery as proof of goods received Thank you for your order. Return To Products