The Gold Hunter Order Form 2253 South 1400 East Gooding, Idaho 83330 USA Shipping Address: Name: ___________________________________________________________ Address: ________________________________________________________ _________________________________________________________________ City: _________________________ State: _________ Zip ____________ Billing Address: Name: ___________________________________________________________ Address: ________________________________________________________ ________________________________________________________________ City: _________________________ State: _________ Zip ____________ Quantity Item Description Unit Price Total Price ______ The Gold Hunter "Gold Test Kit" $39.95 $ ________ ______ The Gold Hunter "KD-1 refill" $10.00 $ ________ ______ The Gold Hunter "KD-2 refill" $10.00 $ ________ ______ The Gold Hunter "KD-3 refill" $10.00 $ ________ ______ _________________________________ $ ________ $ ________ ______ _________________________________ $ ________ $ ________ Sub Total $ ________ Shipping: All items sent Priority Mail 1-2 kits = $6.95 - 3-4 kits = $8.95 5 and over = Free shipping All refills get free shipping Shipping $ ________ Total Amount Due $ ________ ======================================================================= Payment Methods: Personal or Company Check, Cashiers Check, Money Order Make checks payable to: The Gold Hunter Business Phone: 208-734-4321 or 208-934-8223