REGIMENT AIRSOFT Name-
Address-
Phone (Please include area code)-
FAX
E-mail
If paying by MASTER CARD include the following
name on card-
expire date-
card number-
*important - Sign the bottom of the page to confirm that you are over 18 and if paying by credit card to confirm ownership of card and order*
If you wish to pay with a certified cheque or money order. Send your payment to the following address.
Regiment Airsoft Box 24204 London, Ontario N6H 5C4 Phone/Fax 519-433-5930

		ORDER FORM
LINE	NAME OF PRODUCT	PRICE	QUANTITY	TOTAL
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			SUB -TOTAL
			Ontario add 8% PST
	Shipping	Rifles $20	Other $10
			TOTAL

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