Customer Info: (Where you want your order shipped to)

Please read our "Terms and Conditions" page before ordering

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First Name: Last Name:
Address:
City: State:  
Zip:
Daytime Phone: Evening Phone:
Email Address:
Order:
Rodent Blaster Part 1
Description
Qty
Rodent Blaster Part 2
Description
Qty
Rodent Blaster Part 3
Description
Qty
Payment:
Method:  
Credit Card #
Expiration
3-4 Digit Security #
Name as it Appears On Card
( 800 ) Credit Card Customer Service Phone #
Billing Address: (Where your credit card bill is mailed to)
Address:
City: State:  
Zip:
For Your Protection All Credit Card Orders:
  • All credit card orders MUST have the 3or 4 digit security number on the rear of your credit card (i.e.: 1234-1234-1234-1234 (999)
  • All Credit Card Orders must also include the ( 800 ) customer service phone number on the rear of your credit card.
  • We only ship PayPal orders to a confirmed address.
  • All credit card orders are shipped SIGNATURE REQUIRED for your protection.
Shipping:
Shipping:  
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