OutdoorSafe, Inc. ORDER FORM

CLICK HERE TO ORDER ONLINE
-or-
Use this Printable ORDER FORM

Print this form, fill in your order items and mail - along with check or money order - to the address shown below.
Quantity Item Cost each Total
_______________ Plastic orange bag (38 x 65, 4 mil) $3.00 ______________
_______________ Whistle $4.00 ______________
_______________ Match case (Kit below comes with 2) $2.00 ______________
_______________ Signal mirror (glass, 2 x 3) $12.00 ______________
_______________ Metal match with handle $10.00 ______________
_______________ "Outsmart Outback" manual (survival) $7.00 ______________
_______________ Cordura pouch - orange (empty) $7.00 ______________
_______________ Survival kit w/cordura pouch
(Comes with all the above)
$45.00 ______________
_______________ Kids Kit w/Cordura Pouch
(plastic bag shelter, mirror, whistle &  flagging tape)
$25.00 ______________
_______________ Video "Preparing to Survive" $30.00 ______________
_______________ CD-ROM Surviving a Wilderness Emergency PowerPoint Presentation  (95 slides w/script) $65.00 ______________
_______________ Pak-Lite LED Flashlight $26.00 ______________
_______________ Pak-Lite Headband $9.00 ______________
_______________ LED Light and Headband $30.00 ______________
_______________ Surviving a Wilderness Emergency
by Peter Kummerfeldt
$19.95 ______________
_______________ "Preparing to Survive" DVD $15.00 ______________
    Sub total ______________
    Shipping and handling* ______________
    Total ______________
If order amount is : S/H is: Credit Card   VISA   M/C   AMEX   (Circle one)
$00.01 - 15.00...........$5.00
$15.01 - 20.00...........$6.00 #______________________________________
$20.01 - 40.00...........$7.00
$40.01 - 60.00...........$8.00 Expiration date__________________________
$60.01 - & over.........$12.00

*Note: For deliveries outside the United States, shipping charges will be "actual cost."

Name:_________________________________________Email: __________________________________

Address:_______________________________________________________________________________

City:______________________________State:___________________Zip:___________________________

Phone:_____________________________Date:________________________________________________

Where did you hear about OutdoorSafe programs and/or kits?

______________________________________________________________________________________

______________________________________________________________________________________

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OutdoorSafe
P.O. Box 62039
Colorado Springs, CO 80962-2039
719-593-5852

email: outdoorsafe@attglobal.net

Last Site Update: 4/10/2006