All Heart combos are $14.95 each

The Wizz Ripper Gripper  *Patent Pending
                                           Color Combos Qut.                       Sub Totals
Blue Heart

Yellow w/Black

 

 $
      Red w/White

 $
Yellow w/White

 $
Purple Heart

Teal w/Black

 

 $
Teal w/White

 $
Red Heart

Red w/Black

 

$
Red w/White

 $
First     Last   

   Order Total:

 $
Address    

$2.00eaShipping:

 $    
City    State/Province
Country     Zip/Post Code

Total:

 $
Phone# ()--    Email
 
Custom Choices: Enter quantity of each (please make sure you have a ripper per Wizz Gripper)
 Hearts:   Blue      Purple      Red
 Rippers:   Red w/White     Red w/Black       Teal w/White      Teal w/Black
 Rippers:   Yellow w/White     Yellow w/Black
Once you have filled out all the information print this form out. Mail the form and a check payable to R&L Quality Machining to.