THE DEADDOT LASER SYSTEM 
Secure Online Order Form
NOTE
All prices include applicable State Sales Tax and standard shipping cost of $10.00 per order.

Name: 
E-Mail: 
Company: 
Street Address: 
City, State, Zip: 
Phone: 
Kentucky Residents
Non-Kentucky Residents
Comments: 
Payment Type MasterCard Visa Amex
Credit Card number vcode:exp:

NOTE
Please be advised that your credit card statement will show KLS ENTERPRISES as the order taker.