Print this form and send
to:
702 Woodgate Road
Cash, POSTAL
Money Order, Bank of America Checks, VISA/MasterCard
only.
[Spell all exactly as above to avoid returns.]
Right
clearly and date.
Date:__________________
Name: |
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City, State:
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*CC#:
Exp.:
C V V 2: |
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Referral:
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Product Description |
Quantity |
Extended Cost |
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Credit card orders do not get the full discount
prices shown on the websites.
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Subtotal |
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Shipping &
Handling |
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*4% [if applicable] |
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TOTAL |
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