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                 MAIL IN ORDER FORM       View Shopping Cart/Checkout

Print this form and mail it with a check.
ONLY $7.95 TO GET YOUR SQUIRT DIVERT HAIR SPRAY TOOL

If you DO NOT wish to purchase directly online, then  choose an option below.

                                                    
HAVE A COMPLETE ORDER FORM MAILED TO YOU    
PRINT THIS FORM AND MAIL WITH YOUR CHECK
.       
TO SEE A COMPLETE PRODUCT LISTING USE THE TO ORDER PAGE LINK

E-mail to: itg@squirtdivert.com

To have a free catalog and form mailed to you 
check this box    
and fill out your ship to address information below and press submit. 

SECTION A:

TO ORDER BY MAIL Fill Out Section A and Section B,  Mail With A Check:

Squirt Divert Tool comes in four cool colors:
 

Choose one or more by entering a quantity
Raspberry  Blustering Blue  Bold Black  Multi Color Blaze  

$7.95 ea.

Enter your total quantity                                   
Illinois residents please add sales tax of 7.25%       
Shipping/Handling here
                                  $
Enter the Grand Total here                        $

SECTION B:

Make a check or money order payable to:

Send to:   Squirt Divert Company
                      659 Chester Ave.
                      Elgin, IL 60120-3092

Your ship to address:

NAME            
ADDRESS      
CITY/STATE   
ZIP                
E-MAIL          

A 30day money back guarantee, when purchasing a Squirt Divert hair tool !
 International orders extra shipping charges will be added.

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All personal information given is strictly confidential and will not be sold or given out!
Squirt Divert Company™