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Print order form and mail with payment to :
EZ-LITE
THE DI-BAR COMPANY
P.O. BOX 33942
SAN ANTONIO, TEXAS 78265

ORDER FORM

Please send______ Bulk Pack Cases (66 packets) of EZ-LITE
Fire
Starter
at $38.95 per case*
Please send______ Trial Boxes (10
packets) of EZ-LITE Fire Starter at $11.00 per box*
Check enclosed for $_____________.
*Texas residents, please
add 6.75% sales tax.
SHIP TO (U.S. Addresses Only):
NAME_______________________________ PHONE__________________
SHIPPING ADDRESS_____________________________________________________
MAILING ADDRESS_____________________________________________________
CITY/STATE/ZIP_______________________________________________
DO NOT USE POST OFFICE BOX FOR SHIPPING ADDRESS

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Copyright © 2000 Custom Publishing. All rights reserved.
Revised: January 17, 2007
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