Woodworth Beamguard RC Electronic Concepts ORDER FORM

Complete Order Form, Print, and Mail Order Payable To:

Woodworth Beamguard RC Electronic Concepts, County Route 8, Fulton NY 13069

First & Last Name:

Address:                

City                          

State:                      Select State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennysylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming

Zip Code:               Phone:

E-Mail:                  

ITEMS ORDERED:                                  QTY.               

Select Item... Beacon Locator-$14.99    

 TOTAL OF ITEMS         SHIPPING*     SALES TAX (NY residents only)    Grand Total

                         +  $3.85 $4.85 $5.85 $6.85 $7.85 $8.85 $9.95 $10.95                     =            

                                                                                                                    (Amount Enclosed)

*Shipping - $3.85, plus $1.00 per each additional item

Payment Method:    Select Method... Check Money Order