UnderDog Order Form
Jon Falk Lights Ltd., Inc.
P.O. Box #324 Collingswood, NJ 08108
phone/fax (856)854-6543
Cash, Check or Money Orders Only:
|
UnderDog Order Form |
| Click
here to print this form, fill it in, and
mail to: Jon Falk Lights Ltd., Inc. P.O. Box #324 Collingswood, NJ 08108 phone/fax (856)854-6543 Cash, Check or Money Orders Only: |
Customer Name ____________________________________________________________________
Shipping Address _________________________________________________________________
_________________________________________________________________
City / State ____________________________________/____________Zip ____________
Phone # _________________ Fax # __________________ E-mail ________________________
| Product | Price @ | X | Qty | = | Extended | |
| Foreign Kit ( as above with one dual voltage 120/230v Quick Charger) | $200.00 | _____ | = | ___________ | ||
| UnderDog Battery only | $ 70.00 | _____ | = | ___________ | ||
| TopDog Battery only | $100.00 | _____ | = | ___________ | ||
| PocketDog Battery only | $ 80.00 | _____ | = | ___________ | ||
| Dual voltage 120/230v Charger | $ 70.00 | _____ | = | ___________ | ||
| AutoDog 2 (Cig 'em) 12v Car Charger | $ 70.00 | _____ | = | ___________ | ||
| Doggie Bag | $ 3.00 | _____ | = | ___________ | ||
| Bag of 6 Cable Clips | $ 4.00 | _____ | = | ___________ | ||
| UnderDog "Short Leash" Power Cable Nikon SB's Canon EZ & EX, Maybe Sunpack 120 and Various Vivitars)....Specify on order | $ 60.00 | _____ | = | ___________ | ||
| Flash Model _____________________________ | Sub
Total |
___________ | ||||
NJ Res Add 6% Tax |
___________ | |||||
Please
add $12 for UPS Ground. Bags/Cards/Clips go
US Mail add $5 |
Shipping | ___________ | ||||
| Total |
___________ | |||||