Product Order Form
Currently, because of security considerations, we are not able
to accept credit cards over the web. To place an order,
please fill out this form and mail it (with payment) to:
John DeFendis
P.O. Box 5477
Lake Worth, Florida
33466-5477
We accept Cash, Check, and Money Orders from our Web Customers.
Name:_____________________________
Address:______________________________
Address:______________________________
City:________________ State:_____ Zip:_______
Phone:________________
Product Title:___________________ Quantity:________
Amount Enclosed (don't forget tax)$___________________
*Please allow 2 weeks to process checks.