The Worlds Best Laser Jammer
Leon J. Gruner, NSM
11000 ProsperityFarms
Road, Suite 105
Palm Beach Gardens
Florida 33410 USA
Phone: 1-866-622-7219
Fax: 772-219-9687
sales@blinderxtreme.com
www.blinderxtreme.com
 
     
Blinder Order Form
 
   
Purchase Order #:
Date:
Company Name:
Contact Name :
Address:
City:
State Zip Code:
Phone:
Fax :
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Order
       
Description
Quantity
Retail
Total Price
M-25 XTREME
$429.00
M-45 XTREME
$679.00
LASER VAIL
$99.95
SHIPPING
  
TOTAL
  
     
 
   
Signature
Date
 
     
 
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