Download printable order form: pdf-file : doc-file

fill out order form:
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Description - - - - - - - - - - - - - - - - - - - - - Quantity - - Price

_____________________________________ ________ $_______

_____________________________________ ________ $_______

_____________________________________ ________ $_______

_____________________________________ ________ $_______

_____________________________________ ________ $_______

_____________________________________ ________ $_______

_____________________________________ ________ $_______

FREE SHIPPING!

TOTAL $_______

Customer Name: ________________________________________

Address: _______________________________________________

City: __________________ State/Pr.: _________ ZIP/PC: ______

Country (if not US): ______________________________________

Phone: _______________________ Email: ___________________

METHOD OF PAYMENT:
[ ] CASH or [ ] MONEY ORDER payable to Long Range Distribution.
US dollars only, money order, or a postal money order.

PLEASE ALLOW ONE TO TWO WEEKS FOR DELIVERY.Delivery takes longer if
to a non-US address, and if items are back ordered.

SEND TO Long Range Distribution
25514 John R. Rd.
Detroit, MI 48071