Home
Up
Real Life Test
Uses
Customers
Resale
Contact Us
Links

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Credit Card The Check's in the Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

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