Accessories
22
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Charge your order on your VISA, MasterCard,
or Discover Card by filling in the provided form:
USE YOUR CREDIT CARD
IMPORTANT:
Copy complete account number from your VISA card
IMPORTANT:
Copy complete account number from your MasterCard
Expiration date:
Expiration date:
Copy Number above your name on MasterCard
AUTHORIZED SIGNATURE
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
IMPORTANT:
Copy complete account number from your Discover Card
Expiration date:
Print or type your name
and address clearly.
A complete and correct order
will save you days of waiting.
Name:
Street:
Apt:
City:
State:
Daytime Phone No.:
Zip:
Detach Here
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