Speed Weights Order Form


Please print this page, fill it out, and mail it, along with payment, to: Speed Weights, P.O. Box 837, Longmont, CO 80502.

Full name:
E-mail address (optional):
Day Phone (optional):		Evening Phone (optional):

Your Address:
Street Address 1:
Street Address 2:
City, State, Zip:
Country (if not USA):

ShipTo Address (if different from above)
Street Address 1:
Street Address 2:
City, State, Zip:
Country (if not USA):

Speed Weight Information:
# of Speed Weight sets
Color (white or black)
Weight (1.5 oz and/or 2.5 oz)

Amount Enclosed:
NOTE Set of BOTH 1.5 oz and 2.5 oz weights SAVES YOU $6 shipping and handling!! - Add $6 shipping for first set - Add $2 each additional set Example with three 1.5 oz sets: .........3 X $20 = $60 ........................+ $6 ........................+ $4 ..............Total = $70	* Number of 1.5 oz sets: ___ X $20 = $_____ * Number of 2.5 oz sets: ___ X $24 = $_____ * Number of sets including BOTH 1.5 AND 2.5 oz weights: ___X $44 = $____ .............................................+ $6 shipping for first set .............................................+ $_____ ($2 shipping / each additional set) ........................................Total = $_______