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Freestyle
Attn: Individual Returns
5855 Olivas Park Drive
Ventura, CA 93003
Battery
Case or Crystal
Bezel
Band(Leather)
Band(Nylon)
Band(Metal)
Band(Polyurethane or
Neoprene)
California residents
add 7.25% sales tax
Processing and handling
Total
Check or money order
Master Card
Visa
___
Account #
Printed Name
Address
Phone Number
Signature (required for credit purchases)
PRICE
TOTAL
$ 4.00
10.00
6.00
10.00
6.00
15.00
10.00
8.00
$_____
Expiration Date
___
___
___
___
___
Email Address
___
789004-1-2 rev. 3/02
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