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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.