Justamere Ranch LLC
Dynamite Products Order Form 

When you are finished with this form, please use your browser's BACK button to return to the Justamere Ranch Web Site.

Please select the products you wish to purchase from the drop down lists below, print and fill out this page, then mail it with your check or money order (in U.S. dollars) to:


Justamere Ranch LLC
46751 CR53
Bennett, CO 80102 USA

Name:

______________________________________________
Street Address: ______________________________________________
Additional Address: ______________________________________________
City: ______________________________________________
State/Province: ______________________________________________
Postal Code: ______________________________________________
Country: ______________________________________________
Phone Number: ______________________________________________
E-mail Address: ______________________________________________

 

ITEM

 Quantity Unit Price TOTAL PRICE Shipping
______ $_______ $________ $________
______ $_______ $________ $________
______ $_______ $________ $________
______ $_______ $________ $________

Merchandise Total:

 $________

Colorado Residents Please Add Sales Tax (2.9%):

 $________

California Residents Please Add Sales Tax (7.25%):

 $________

Shipping Charges

 $________

ORDER TOTAL:

 $________


If you have any questions please e-mail us at .

Justamere Ranch LLC - www.justamere.com