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ORDER FORM

If you do not feel comfortable ordering online using your credit card, simply print out this order form & mail or fax it along with your check, money order or credit card information to:

LaTorre's Deer Out™
P.O. Box 290
South Plainfield, NJ 07080
(908) 769-4242     Fax: (908) 769-3253

Payment Method: ___ MasterCard   ___Visa

Card #: ___ ___ ___ ___-___ ____ ___ ___-___ ___ ___ ___-___ ___ ___ ____

Expiration Date: _____-_____ (mmyy)

Name on Credit Card: __________________________________________________

Billing Address:________________________________________________________

____________________________________________________________________

City: _________________________ State: ________ Zip Code/Postal Code: __________

Ship To Address (if different from Billing Address):___________________________________________________

______________________________________________________________________________________
IMPORTANT: We can't ship to P.O. boxes. Please be sure to provide a physical address for FedEx delivery.

City: _________________________ State: ________ Zip Code/Postal Code: __________

Phone: ____________________________Email: ____________________________________________________

 

Item Price Quantity Total
40 oz Ready to Use Solution $15.99 + $5.95 s/h _____ $________
48 oz Ready to Use Pump Sprayer $24.95 + $5.95 s/h _____ $________
1 Gallon Ready to Use Solution $26.99 + $5.95 s/h _____ $________
32 oz Concentrate $34.95 + $5.95 s/h _____ $________
Starter Combo $47.95 + $6.95 s/h _____ $________
2 1/2 Gallon Ready to Use Refill $54.95 + $7.95 s/h _____ $________
4 Gallons Ready to Use Solution $99.00 + $9.95 s/h _____ $________
1 Gallon Concentrate $109.95 + free shipping _____ $________
2 1/2 Gallon Concentrate $199.99 + free shipping _____ $________
5 Gallon Concentrate $399.99 + free shipping _____ $________
53 oz Compressed Air Pressure Sprayer $9.95 + free shipping _____ $________
Poison Ivy Soap $9.95 + free shipping _____ $________
Deer Out T-Shirt
SIZES: (M)-(LG)-(XL)  
$9.95 + free shipping _____ $________
Deer Out Ball Cap $9.95 + free shipping _____ $________
NJ Residents add 7% Sales Tax $________
    ORDER TOTAL $________

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