HPS Printable Order Form Name:_____________________________________________________________________________ UPS Shipping Street Address:_______________________________________________________ City:_____________________________State_________________Postal Zone________________ E-mail address:__________________________________________Phone:____________________ If ordering by credit card, please include the following information: MC / Visa (Circle One). Card Number: __________________________________________________Exp. Date:___________ Cardholder Name:____________________________________________________________________ Billing Address: ___________________________________________________________________ Quantity Item Description Size Price ea. Extension __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ In Idaho add 6% Idaho Sales Tax:$______________ UPS Shipping:$______________ Total Enclosed:$______________ Please make check or Postal Money Order payable to H.P.S. Mail to: H.P.S., P.O. Box 6232, Boise, Idaho [83707] Or FAX to: 208-376-9595 The following notice is for body armor product buyers only: I solemnly swear and do affirm that I have not been convicted of any felony or misdemeanor which prohibit me from lawfully owning a firearm. I agree to all terms and conditions. _________________________________________________________________ Signature Date