Name: _________________________________________________________
Company: ______________________________________________________
Purchase Order #: ________________________________________________
Address: _______________________________________________________
City: _______________________________ State: ____ Zip: ______________
Day Time Phone: (_____) _______________ Fax: (_____) ________________
ITEM NAME _____________________________________ # _____ PRICE:
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_______________________________________________|_______|_______|
_______________________________________________|_______|_______|
_______________________________________________|_______|_______|
Sub Total_|_______|
CA residents add 7.75%_|_______|
Shipping & Handling_|_______|
TOTAL_|_______|
Or make check payble to Bulli Ray Enterprises.
Only U.S. Dollars accepted.
Prices subject to change without notice.
Shipping & handling: each Kit $12.50
Each Video: $4.00
All other shipping costs, call for pricing.