$________   

Shipping   $25.00
(AK & HI $50.00) (P.O. Box add $10.00)

x  _____ = _________   
Total conversion units ordered 

Subtotal

$________   

6% FL Sales Tax
(FL Resident only)

$________   

Order Total

$________   

Ship to:

_________________________________________________

_________________________________________________

_________________________________________________

Send Certified Check, Money Order, or Personal Check (all personal checks held 2 weeks to clear).
Sorry, no credit cards - their acceptance would require increases in prices to offset the losses from fraud.

Prices subject to change without notice. 25% order cancellation fee.

Where did you hear about our website / products?  ______________________________________________

Print this page, enter your choices and mail with payment and copy of your FFL/SOT to:

Jonathan Arthur Ciener, Inc.
8700 Commerce Street    Cape Canaveral, FL 32920    321 868-2200    Fax  321 868-2201