Mail
USA bank checks or
Money Orders to;
FARSIGHT INTERNATIONAL
1771 W. State Route 89A Ste. B # 2002
Sedona, AZ. 86336
Price
List / Purchase Order -Please print form, fill in information and Fax: 928-203-9102 or mail. You will receive confirmation of order.
Customer Information * Please
note all fields are required to be filled-in to complete
purchase form.
Customer
Name
Ship
to: Street Address
City,
state & zip code
E-mail
Address
Phone
Number
Fax
Number
Payment
Information We
accept Visa and MasterCard by fax and check or
money order by mail.
Credit
Card (circle 1)
Visa MasterCard Discover
Card
number
Expiration
date
Full
name on card
Street
address
City,
state & zip code
Full
signature
Camping/Shelter
Item
#
Price
US$
Quantity
Weight
Total
Camp
dry waterproof spray
MIS100
$14.95
2
lbs.
Four
person family tent
MIS103
$149.00
6
lbs.
Nylon
cord 50'
KIT119
$4.95
1
lb.
Ponchos
KIT121
$3.95
1
lb.
Privacy
shelter
MIS104
$59.95
5
lbs.
Safety
vest
KIT124
$2.95
1
lb.
Signaling
mirror
KIT127
$3.95
1
lb.
Solar
blanket
KIT130
$2.50
1
lb.
Tarp
4'x6'
KIT131
$4.95
1lb.
Thermal
sleeping bag
MIS105
$9.95
1
lb.
Toilette
portable
KIT135
$24.95
3
lbs.
Trash
bags bx
KIT136
$2.00
1
lb.
Water
bag 2 gal.
KIT138
$7.95
1
lb.
Life
Packs
Item
#
Price
US$
Quantity
Weight
Total
Basic
Life Pack
LP107
$28.95
6
lbs
Econo
Life Pack
LP102
$18.95
5
lbs
Family
Life Pack
LP103
$149.00
36
lbs
Car
Life Pack 1
LP105
$79.00
9
lbs
Car
Life Pack 2
LP106
$89.00
18
lbs
Classroom
Quick Evac Pack
LP101
$199.00
41
lbs
Office
Ten Person Life Pack
LP108
$339.00
63
lbs
100
Person Industrial Life Pack
LP100
$1600.00
S+H
please call
Lighting/Radios
Item
#
Price
US$
Quantity
Weight
Total
Am/Fm
radio flashlight
RA101
$12.95
2
lbs.
Batteries
AA pair of 2
KIT100
$1.50
1
lb.
Batteries
C pair of 2
KIT101
$1.50
1
lb.
Candles
slow burn pk/5
KIT103
$7.50
1
lb.
Dynamo
radio flashlight
RA102
$39.95
3
lb.
Flare
- 15 min.
KIT108
$2.50
1
lb.
Galaxie
multi purpose light
KIT110
$5.95
1
lb.
Light
stick 12 hrs.
KIT114
$2.50
1
lb.
Matches
waterproof bx/50
KIT116
$1.95
1
lb.
Rechargeable Light for Power
Outages
KIT118
$19.00
1
lb.
Solar Battery Recharger For sizes: "C" "AA" and "AAA"
KIT117
$19.00
1 lb.
Two
tube florescent lantern
MIS106
$49.95
1
lb.
FIRST-AID
KITS
Item
#
Price
US$
Quantity
Weight
Total
First
aid 100 pcs +
F100
$14.95
3
lbs
First
aid 51 pcs
FA51
$9.95
2
lbs
First
aid large industrial
FA101
$197.00
21
lbs
First
aid medium industrial
FA102
$189.00
15
lbs
First
aid small industrial
FA103
$149.00
10
lbs
Latex
gloves pk/10
KIT113
$1.95
1
lb.
Moist
towlettes bx/100
KIT117
$2.95
1
lb.
Reader
digest first aid guide -
KIT123
$1.95
1
lb.
Sanitary
pad
KIT125
$1.95
1
lb.
Tissue
pocket 6 pks
KIT133
$2.00
1
lb.
Tissue
roll 3 rolls
KIT134
$2.00
1
lb.
Vaseline
jar
KIT137
$1.95
1
lb.
TOOLS
Item
#
Price
US$
Quantity
Weight
Total
Duct
tape
KIT106
$2.95
1
lb.
Dust
masks pk/5
KIT107
$1.50
1
lb.
Folding
shovel
KIT109
$9.95
2
lbs.
Goggles
KIT111
$2.95
1
lb.
Knife
- multi functions
KIT112
$4.95
1
lb.
Lock
mini
KIT115
$1.00
1
lb.
Pliers
KIT120
$1.95
1
lb.
Sewing
kit
KIT126
$2.95
1
lb.
Whistle
KIT140
$1.00
1
lb.
Work
gloves
KIT141
$4.95
1
lb.
Wrecking
bar 12"
KIT142
$3.95
1
lb.
FOOD & WATER
Item
#
Price
US$
Quantity
Weight
Total
Food
2400 cal.
F024
$5.95
1
lb.
Food
3600 cal.
FO36
$7.95
1
lb.
Water
case/96 pouches
WA100
$29.95
29
lbs.
water
case/64 pouches
WA64
$19.95
19
lbs.
MISCELLANEOUS
Item
#
Price
US$
Quantity
Weight
Total
Big
duffel bag 30"
KIT102
$12.95
1
lb.
Candy
10 oz.
MIS102
$1.75
1
lb.
Cards
KIT103
$1.95
1
lb.
Combs
KIT104
$1.95
1
lb.
Dental
floss
KIT105
$1.50
1
lb.
Radiator
stop leak
KIT122
$4.95
1
lb.
Soap
3 bars
KIT129
$2.00
1
lb.
Tire
inflator and sealer
KIT132
$9.95
1
lb.
Water
purification tablets bottle/50
KIT139
$9.95
1
lb.
Enter
Total Amount of Purchase
$
Out
of California, call toll free number at 1(800)735-0284 for cost
of shipping or fax this form and we will contact you with
the exact shipping charges.
Residents
of California please add 8.75% sales tax.
TOTAL
amount due
$