Order Form
Black Light World
2256 Martin Pierce Rd.,
Cub Run, KY. 42729
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Total Price |
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KENTUCKY RESIDENTS 6% TAX: |
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SUB TOTAL: |
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( See Chart Below
) SHIPPING: |
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TOTAL ENCLOSED: |
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Order Total |
Shipping Charges |
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$0.00 to $10.00 |
$5.95 |
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$10.01 to $50.00 |
$9.95 |
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$50.01 to $100.00 |
$12.95 |
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$100.01 to $200.00 |
$14.95 |
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$200.01 and up |
$22.95 |
Please make checks & money
orders payable to:
Black Light World
Orders paid for by business
checks will be delayed for 10 business days to clear.
Orders paid for with Money Orders or Cashier's Checks are not delayed.
BLW Will Not Accept Personal Checks
Send Payments to:
Black Light World
2256 Martin Pierce Rd.,
Cub Run, KY. 42729
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Please don't forget to sign the Disclaimer Agreement
below.
Mail-in orders cannot be processed without a signed Disclaimer.
DISCLAIMER / HOLD HARMLESS AGREEMENT
The undersigned hereby acknowledges:
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1. I, the purchaser, herein referred to
as 'The Buyer', states that you are at least 18 years of age.
X________________________________________________________________________________ |