Order Waterblaster

If you would like to pay for your Waterblaster by check, please print out this form and mail it with your payment to

Water Blaster, Inc.
2401 Maple St.
Saginaw, MI 48602
Office & Fax (989) 792-3277



Name: ________________________________________
E-mail: ______________________________________
Street Address: ______________________________________
City: ______________________________________
State: _________________ Zip: __________________
Phone: ______________________________________
Quantity of XLR Water Cannon @ 17.95 _______
Quantity of Mini Water Cannon @ 14.95 _______
Shipping and Handling: _______
Add $5.95 to your order for shipping and handling. For orders of 2 or more, add $2.50 per Waterblaster.
Orders of 12 or more within the US, add only $14.95.
Total: _______
Signature: ______________________________________


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