WWW.SPUDGUN.COM, ORDER FORM Last name________________________ First name_________________ Address __________________ Address __________________ Town ____________________ State ______ Zip Code _______ I am 18 years or older yes___no___ , I agree to terms set in Legal Stuff, yes___ no___ Internet address__________________ Phone number (xxx)-xxx-xxxx ____________ Fax number (xxx)-xxx-xxxx ____________ Credit card number ______ - ______ - ______ - _______, MC__, VIS___, PAYPAL___ Credit card exp. Date _______, 3-4 digit DVC code on back of card __________ Product: Spud Gun w/non-rifled barrel.........$65.95, (select barrel size), 1.5"___, 2"___ Spud Gun w/rifled barrel.............$86.95, (Select barrel size), 1.5"___, 2"___ Tennis Ball shooter, Mini/Reg........$81.00, Mini, ___, Reg ___ Spud gun w/"T" shrit barrel & 3 wads....$81.00 _____ Over & Under barrel..................$ 12.95 ea. + $7.50 shipping , ____ TP Launcher barrel...................$16.95 ea. + $10.50 shipping, ____ Spud Rocket Combo's.................3, $12.00,___ , 6, $20.00, ___+ $7.00 s/h, (size), 1.5" ___, 2" ___ Glow Sticks ..........................6, $12.00,___ , 12, $24.00,___ + $7.00 s/h. Plastic wads..........12, $4.00, ___, 25, $8.00,___ + $4.50 s/h, (size), 1.5"__ , 2" __, 3"____ Rifled barrels (blank stock)........... 36"($17.95), ___ 1.5"___, 2" ___+$10.50 s/h Rifled barrels w/male adapter......36"($19.95), ___ 1.5",___ 2" ___+$10.50 s/h 3" "T" shirt barrel w/6 wads........36"(18.95),___ 1.5" adptr___, 2" adprt ____, $10.50 S/H Tennis ball barrel............36", ($17.95), ___ 48",($19.95),___ , 1.5" adptr ___, 2" adptr ___+$10.50 s/h Plans..................................$ 5.95 ea. , Spud Muff,___ , Spud Gun,, ___Email , ___US Postal___ Laser sight.......................................$11.95ea +$4.00 (up to 3) s/h ___ Replacement igniter.......................1 - $11.95ea, 2-$21.50, 3-$32.25 +$4.00 s/h ___ Specials.................... #1,($52.00) __, #2,($52.00) __, #3,($102.00) __, #4,($112.00) __, #5,($146.50) __ Please make checks or money orders payable to: Larry Barnes : Spudgun. Com, LLC 6965 Heron Way DeForest, WI. 53532 NOTE: All credit cards will be verified and personnel checks must clear my bank before product is shipped. updated 12/10/08