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Drivers License:_______________________ Convicted of a felony?___
Additional items:______________________________________
FREE Shipping for all Tasers. Other items ship for $4.55 each.
Total Charge including shipping:$__________
Print and fax to: 702-341-1652 or mail with payment to:
Internet Company, 8628 Canyon View Drive, Las Vegas, NV 89117-5820
If you cannot print this form, please use the printable form.
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