Black Hawk Tobacco, Inc. Mail Order/Fax Forms Personal Information (*Required) You must be at least 18 years old to smoke cigarettes. By filling out this form, you are agreeing that you are at least 18 years old. In Alaska, Arizona and Utah you must be 19 years old. *First Name: *Middle *Last Name: *Telephone: - - *Email: *Address: *City: *State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Dakota North Carolina Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip Code: *Age: Black Hawk Cigarettes Black Hawk Full Flavor Kings (Box): @ $14 Black Hawk Full Flavor 100's (Soft): @ $14 Black Hawk Lights Kings (Box): @ $14 Black Hawk Lights 100's (Soft): @ $14 Black Hawk Ultra Lights Kings (Box): @ $14 Black Hawk Ultra Lights 100's (Soft): @ $14 Black Hawk Menthol Kings (Box): @ $14 Black Hawk Menthol 100's (Soft): @ $14 Black Hawk Menthol Lights Kings (Box): @ $14 Black Hawk Menthol Lights 100's (Soft): @ $14 checkout Exact Elite Cigarettes Exact Elite Full Flavor Kings (Box): @ $14 Exact Elite Full Flavor 100's (Soft): @ $14 Exact Elite Lights Kings (Box): @ $14 Exact Elite Lights 100's (Soft): @ $14 Exact Elite Ultra Lights 100's (Soft): @ $14 Exact Elite Menthol Kings (Soft): @ $14 Exact Elite Menthol 100's (Soft): @ $14 Exact Elite Menthol Lights Kings (Soft): @ $14 Exact Elite Menthol Lights 100's (Soft): @ $14 checkout Buffalo Deluxe Cigarettes Buffalo Full Flavor Kings (Box): @ $15 Buffalo Full Flavor 100's (Soft): @ $15 Buffalo Lights Kings (Box):: @ $15 Buffalo Lights 100's (Soft): @ $15 Buffalo Ultra Lights Kings (Box): @ $15 Buffalo Ultra Lights 100's (Soft): @ $15 Buffalo Menthol Kings (Box): @ $15 Buffalo Menthol 100's (Soft): @ $15 Buffalo Menthol Lights Kings (Box):: @ $15 Buffalo Menthol Lights 100's (Soft): @ $15 Buffalo Non-Filter Kings (Box):: @ $15 checkout Texas Republic Cigarettes Texas Republic Full Flavor Kings: @ $15 Texas Republic Full Flavor 100's: @ $15 Texas Republic Lights Kings: @ $15 Texas Republic Lights 100's: @ $15 Texas Republic Ultra Lights Kings: @ $15 Texas Republic Ultra Lights 100's: @ $15 Texas Republic Menthol Kings: @ $15 Texas Republic Menthol 100's: @ $15 Texas Republic Menthol Lights Kings: @ $15 Texas Republic Menthol Lights 100's: @ $15 checkout Seneca Full Flavor 100's: @ $15 Seneca Full Flavor Kings: @ $15 Seneca Non-Filter Kings: @ $15 Seneca Lights 100's: @ $15 Seneca Lights Kings: @ $15 Seneca Ultra Lights 100's: @ $15 Seneca Ultra Lights Kings: @ $15 Seneca Menthol 100's: @ $15 Seneca Menthol Kings: @ $15 Seneca Menthol Lights 100's: @ $15 Seneca Menthol Lights Kings: @ $15 Seneca Menthol Ultra Lights 100's: @ $15 checkout Native All Natural Full Flavor Kings: @ $16 Native All Natural Full Flavor 100's: @ $16 Native All Natural Lights Kings: @ $16 Native All Natural Lights 100's: @ $16 Native All Natural Ultra Lights Kings: @ $16 Native All Natural Ultra Lights 100's: @ $16 Native All Natural Menthol Kings: @ $16 Native All Natural Menthol 100's: @ $16 Native All Natural Menthol Light 100's: @ $16 Native All Natural Menthol Light Kings: @ $16 checkout Skydancer Cigarettes Skydancer Full Flavor Kings: @ $15 Skydancer Full Flavor 100's: @ $15 Skydancer Non-Filter Kings: @ $15 Skydancer Lights Kings: @ $15 Skydancer Lights 100's: @ $15 Skydancer Ultra Lights Kings: @ $15 Skydancer Ultra Lights 100's: @ $15 Skydancer Menthol Kings: @ $15 Skydancer Menthol 100's: @ $15 Skydancer Menthol Light Kings: @ $15 Skydancer Menthol Light 100's: @ $15 checkout Opal 120 Full Flavor Cigarettes: @ $17 Opal 120 Lights Cigarettes: @ $17 Opal 120 Menthol Cigarettes: @ $17 Opal 120 Menthol Lights Cigarettes: @ $17 Opal 120 Ultra lights Cigarettes: @ $17 checkout Smokin Joes Full Flavor Kings (Soft): @ $15 Smokin Joes Full Flavor Kings (Box): @ $15 Smokin Joes Full Flavor 100's (Soft): @ $15 Smokin Joes Full Flavor 100's (Box): @ $15 Smokin Joes Non-Filter Kings (Soft): @ $15 Smokin Joes Medium Kings (Soft): @ $15 Smokin Joes Medium 100's (Soft): @ $15 Smokin Joes Lights Kings (Soft): @ $15 Smokin Joes Lights 100's (Soft): @ $15 Smokin Joes Lights 100's (Box): @ $15 Smokin Joes Ultra Lights Kings (Soft): @ $15 Smokin Joes Ultra Lights 100's (Soft): @ $15 Smokin Joes Ultra Lights 100's (Box): @ $15 Smokin Joes Menthol Kings (Box): @ $15 Smokin Joes Menthol 100's (Soft): @ $15 Smokin Joes Menthol Light 100's (Soft): @ $15 Smokin Joes Menthol Light Kings (Box): @ $15 checkout Smokin Joes Cigars Smokin Joes Little Cigars - Full Flavor: @ $15 Smokin Joes Little Cigars - Lights: @ $15 Smokin Joes Little Cigars - Vanilla: @ $15 Smokin Joes Little Cigars - Cherry: @ $15 Smokin Joes Little Cigars - Peach: @ $15 Smokin Joes Little Cigars - Grape: @ $15 Smokin Joes Little Cigars - Strawberry: @ $15 Smokin Joes Little Cigars - Menthol: @ $15 Smokin Joes Little Cigars Mixed: @ $16 checkout Skydancer Premium Cigars Skydancer Little Cigars - Sweets: @ $15 Skydancer Little Cigars - Naturals: @ $15 Skydancer Little Cigars - Menthol: @ $15 Skydancer Little Cigars - Mixed: @ $16 checkout Total Order 10 or more cartons and the postage is FREE!! Subtotal: Cartons: Postage:   Total:   You must be 18 years old to purchase tobacco products! First time check/money order customers must provide a legible copy of a valid state ID or driver's license. Send Orders to: Black Hawk Tobacco, Inc. 1751 n Sunrise Way Suite D2 Palm Springs, California 92262, USA   SURGEON GENERAL’S WARNING: Cigarette Smoke Contains Carbon Monoxide. ©2003 - 2007 Black Hawk Tobacco, Inc. · · · Native American Cigarettes - For Those Who Like to Smoke Natural Tobacco.