If you would prefer to use a check or money order and bypass using the web ordering altogether

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STREET ADDRESS (No P.O Boxes)
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EMAIL ADDRESS

Item Name/Part#	Quantity	Unit Price	Total Price










KENTUCKY RESIDENTS 6% TAX:
SUB TOTAL:
( See Chart Below ) SHIPPING: If you live in Alaska or Hawaii email us for special shipping charges.
TOTAL ENCLOSED:

Order Total	Shipping Charges
$0.00 to $10.00	$5.95
$10.01 to $50.00	$9.95
$50.01 to $100.00	$12.95
$100.01 to $200.00	$14.95
$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.

1. I, the purchaser, herein referred to as 'The Buyer', states that you are at least 18 years of age.
2. I understand the information provided from Black Light World and will use products in a responsible manor.
3. I understand the Buyer's exclusive remedy, for any cause or claim whatsoever, including but not limited to alleged breach of warranty, product liability, negligence, or otherwise, shall be for money damages in an amount not to exceed the purchase price paid for the product (excluding shipping) in respect to which the claim is made. In no event shall Black Light World or anyone involved with Black Light World., be liable for special, incidental or consequential damages, whether the buyer's claim in contract, negligence, strict liability or otherwise. In consideration of the sale of the products to the buyer, the buyer agrees to indemnify and hold Black Light World and its agents harmless from all claims, expenses, losses and liability of any nature whatsoever arising out of the buyer's handling and/or use of the products, whether used alone or in combination with any other substance.

4. The undersigned will not use the materials purchased in violation of any local, state, or federal law.

5. The undersigned agrees to hold the seller harmless from and will indemnify seller from damages caused by the use of the materials purchased.

6. This agreement applies to all your purchases: past, present & future.

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