Please print this form and fax it in to our office at 845.528.2158
or call 800.582.3783

Individual Use Products (Average use is 3-4 oz. of solution per cleaning)

USA Order Form

Product Number HORN FLUSH Musical Instrument Products

Price Each

Quantity Ordered

Total
A-HF-RK1 Horn Flush Kit - Individual Use For small bore / high brass instruments (1 - 16 oz bottle Horn Flush & HFS-1 Horn Blaster Sprayer)

$29.95
A-HF- RK2 Horn Flush Kit - Individual Use For large bore / low brass instruments (1 - 16 oz bottle Horn Flush & HFS-2 Horn Blaster Sprayer)

$29.95
A-HF-16R Horn Flush Premixed 16 oz. bottle

 $   9.95
A-HF-32R Horn Flush Premixed 32oz bottle

$ 15.95
S-TUBE1 Horn Flush Horn Blaster Sprayer (Trumpet & Horn)

$ 24.95
S-TUBE2 Horn Flush Horn Blaster Sprayer (Tuba & Trombone)

$ 24.95
A CM 2 Case Magic  Case freshening spray 2oz pump bottle

$   3.95
A CM 4 Case Magic Case Freshening spray 4 oz pump bottle

$   5.95
A CM 8 Case Magic Case freshening spray 8 oz. pump bottle

$ 8.95
Shipping (RPS ground or USPS) $  5.00
TOTAL DUE

       Ship to: ________________________________  Address: _________________________________

       City: ___________________________ State ______  ZIP __________ Phone _________________

        e-mail confirmation to: ____________________________
        Visa/MC/Discover # ______________________________ Exp. date. ________

         Authorized Signature : __________________________________________ hfrpl 0.1