Sat Nov 22, 2008
HACKER SAFE certified sites prevent over 99.9% of hacker crime.
Special Order Entry Form

USE THIS PAGE FOR ORDERING ITEMS NOT SHOWN IN OUR WEB STORE, OR ITEMS IN GALLERY OF GUNS



Many items we sell are not listed in our web store, and some items in our GALLERY OF GUNS are not available in the GALLERY shopping cart, so we have created this page for your ease of ordering.
Simply print this page, fill in the required info and FAX to 801 393 2476
OR mail to:
Impact Guns 2710 S. 1900 W.
Ogden, UT 84401
OR email the completed order form to:
mailto:sales@impactguns.com
We will process the order as submitted or contact for further iniformation.

Name:
Billing Address:
City, State, Zip:
Shipping Address (if different):
City, State, Zip:
Daytime Phone: Cell Phone:
Home phone:
Email address:

#1 Item # & Desciption:

#2 Item # & Desc:

#3 Item # & Desc:

Shipping:
Total:

Method of Payment: CREDIT CARD#:
Credit card EXPIRATION Date:
Cashiers Check/Money order:


Signature: