Roof Pressure Washing Video "Mail Order Form"

Roof Pressure Washing Video!

Print and mail the following form with your payment to:
Volitar Industries
301 Highland Dr.
Juneau, AK 99801

Yes, rush me the Roof Pressure Washing Video! (cd rom)

Name: _____________________________________

E-mail: _____________________________________
(please double check spelling)

Company (optional): __________________________

Address: ___________________________________

City: _______________________________________

State: ______________________________________

Country: ____________________________________

Zip: ________________________________________

Phone: (___) ____ - ______

( ) I am enclosing a check or money order for $19.97 US funds, ($9.97 + $10 S&H), payable to Volitar Industries.

Your Roof Pressure Washing Video will be shipped via US First Class Mail within 48 hours of payment confirmation.