Nitro 5 / RegNow Order Form
                             http://www.nitro5.com
                             
                          ****PLEASE PRINT CLEARLY****

Mail Orders:
     RegNow
     9615 West 76th street
     Suite 150
     Eden Prairie, MN 55344
     U.S.A.

Telephone Orders:
     U.S and Canada: 1-877-353-7297  24 hours / 7 Days
     International: 1-(952) 646-5331  24 hours / 7 Days


     We accept Visa, Mastercard, Discover, American Express, Diners
     Club, Cashiers Check, Personal Check.   Personal
     checks are subject to clearance. 


     If you reside in a country with an unconvertible currency please
     contact us for alternatives.


     Check Products                     Price
     
     [ ] MBall 2 (3503-1)		($19.95)
     [ ] The Golden Guns (3503-2)	($19.95)
     
     

     Total:                                                $ _______




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     E-Mail #1____________________________________________________________



      FOR CREDIT CARD PAYMENT ONLY

      Circle one: VISA / MasterCard 

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