Instructions: Print this form, complete it, and fax to: 301-309-6825. You can also download the MSWord version of the order form here.

Descriptions Size/Color Cost Quantity Total
The WIZ GRID N/A 300.00 ______ ______
DSL Demoliton Safety Light Yellow or Dark Grey 59.95 ______ ______
DIGI-GAL Galvanometer Yellow 399.95 ______ ______
Photon Micro-Light II Specify Color 19.95 ______ ______
Photon Micro-Light II Infrared 25.95 ______ ______
Photon Micro-Light III Specify Color 25.95 ______ ______
CRYSTAL Photon
Micro-Light III
Specify Color 27.95 ______ ______
COVERT Photon
Micro-Light III
Specify Color 27.95 ______ ______
Photon Micro-Light III Infrared 31.95 ______ ______
Photon Micro-Light III Ultraviolet 51.95 ______ ______
Photon RAV'N Party Light N/A 37.95 ______ ______
CR-2032 3-volt EverReady Lithium (only for red, yellow and green; each light requires 1 battery) N/A 2.50 ______ ______
CR-2016 3-volt EverReady Lithium (only for white and blue; each light requires 2 batteries) N/A 3.00 ______ ______
Wizard 50G2 N/A 325.00 ______ ______
M-3 Flash Bulbs N/A 20.00/doz. ______ ______
PH/5 Flash Bulbs N/A 24.00/doz. ______ ______
Magic/Flash CUBES N/A 9.00/3-pack ______ ______
Flipflash/Flash Bar N/A 9.00/ea. ______ ______
Wizard Devices Hats Black only 14.95 ______ ______
Pyrotech T-shirt L or XL
Black only
19.95 ______ ______
Special Effects T-shirt L or XL
Black only
19.95 ______ ______
WIZARD ROBO-STI N/A Single: $475.00 Dual: $850.00 ______ ______
Wizard "Lightning" Shock Tube Initiator N/A 325.00 ______ ______
Wizard "Lightning & ARC" Shock Tube Initiator Replacement "Arc" Tip N/A 20.00 ______ ______
Wizard "ARC" Shock Tube Initiator N/A 75.00 ______ ______

Maryland residents add 5% Sales Tax to your order: ______
The cost of my order, less shipping
(provided at time of order/confirmation) is:
______


SENT BY:

Name:_____________________________________________________

Address:___________________________________________________

City, State, Zip:_____________________________________________

Phone #:___________________________________________________

Circle: VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVER

Card #:____________________________________________________

Expiration Date:_____________________________________________

Note: Your name, address, phone number, or credit card will NOT be sold, given out, or sent over the Internet. Your order and means of payment will be verified by a call from Wizard Devices to the phone number you provide.

Fax or mail completed order form to:

WIZARD DEVICES, INC.
1731 Crestview Drive
Rockville, Maryland 20854
Phone/Fax: 301-309-6825
Email: wizarddevices@comcast.net

Thank you for your business. Wizard Devices is committed
to your satisfaction and safety.