ORDERING INFORMATION:

We are primarily set up for wholesale and can not take credit card payments.

To order from us please mail this form and enclose your payment by check.

At this time we only ship to addresses within the United States, no exceptions please.

 

QTY#B-600 Black/brown with inner holster   $19.95ea 

  

QTY#SJ-B3 Black vinyl with inner holster   $24.95ea 


QTY#BLYKK Black Leather with inner holster   (OUT OF STOCK)  

                                    Shipping & Handling  $5.00 


                                     Total 

    
CUSTOMER / SHIP TO INFORMATION

    
NAME           
    
STREET ADDRESS 
    
CITY/STATE      
    
ZIP CODE       
    
DAYTIME PHONE  
    
E-MAIL ADDRESS 

Lange Company Inc._3430 Spring Blvd._Eugene, Oregon 97405

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mail@langecompany.com