Mr. Squid
ORDER FORM
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SHIP TO

Name________________________________________________________________________

Address_______________________________________________________________________

______________________________________________________________________________

City________________________________________State_________Zip Code_____________

Telephone # (______)_____________________Email_________________________________

Item #

Qty.

Description

Color

Price ea.

Total Price

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Enclosed is the full amount of my order $_______

Paid by: (check one)

Personal check_____ Money Order_____

Please make payable to: Lodestone Technologies

Mail form with payment to:
          SquidTech
          c/o: Lodestone Technologies, Ltd.
          1050 Geranium Drive
          Henderson, NV  89015
          (702) 236-2428
          Email: SquidTech@worldnet.att.net

Total Squid Parts: 

 

NV Sales Tax 8.5% (Nevada residents only): 

 

Subtotal: 

 

Shipping & Handling:

$2.50

Total Order: 

 

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