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USE
YOUR
CREDIT
CARD
Charge your order on your VISA, MasterCard,
or Discover Card by filling in the provided form:
IMPORTANT:
Copy complete account number from your VISA card
1--_-_ CCI3 Fr_ CI_ _xp_ondato:CE]
CC]
VISA"
IMPORTANT:
Copy complete account number from your MasterCard
FT-T-I-] f-I-I_
r-l--r--N r-r--r-_
Copy Number above your name on MasterCard
_
Expiration date: _--]
IMPORTANT:
Copy complete account number from your Discover Card
r-T--_ _-T--I--1 _-r--r-] _-FTq
Exp_ooda_:
CE]Vl-]
AUTHORIZED
SIGNATURE
Print or type your name
A complete and correct order
and address clearly,
will save you days of waiting.
Name:
Street:
Apt:
City:
State:
Zip:
Daytime
Phone No.:
Please
make sure that both sides of this form have been filled out completely.
• Allow 4 weeks for delivery.
• All accessories are subject to availability.
• Prices are subject to change without notice
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