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Charge
your order on your VISA,MasterCard,
or Discover
Card
by filling
in below
USE YOUR CREDIT
CARD
IMPORTANT:
Copy complete
account number from your VISA card
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Expirationdate:[[_[""_
IMPORTANT:
Copy complete
account number from your MasterCard
Copy Number above your name on MasterCard
_
Exp ration date: _
IMPORTANT:
Copy complete
account number from your Discover Card
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Expiration date:
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AUTHORIZED
SIGNATURE
Prices are subject to change without notice.
Print or type your name and address
clearly. This will be your mailing label.
A complete and correct order will
save you days of waiting.
Name:
Street:
City:
State:
Apt:
Zip:
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.
c.)
46
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