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| Order # |  Mfg #  |       Description      |Qty.|Price per Item|Total |
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U.S. Orders:

  Item Total                                               $_________.___
    Plus shipping and handling (see below)                 $_________.___
    6.25% sales tax if shipped to Texas.                   $_________.___
  TOTAL DUE                                                $_________.___

Payment Methods:

_____   Check enclosed.  (All checks must be in US$, drawn on a US bank,
	located in the US & must include correct shipping and handling charges.)

Please make checks payable to Ultimate Outdoors.


Charge to my:  ___Visa  ___Master Card  ___American Express  ___Discover

Name on card: ________________________________

Billing Address_______________________________

          City:__________________State_____________Zip Code____________

Card # _______________________________Expiration Date _________________

Signature __________________________________________________


Ship to:

Name: ____________________________Organization ______________________________

P.O. Box: _________________Street Address____________________________________

City: _______________________State: ________________Zip Code: _______________

Telephone: ______________________Fax: __________________ Email: _______________