USE YOUR CREDIT CARD
Charge your order on your VISA,MasterCard,
or Discover Card by filling in below
IMPORTANT: Copy completeaccount number from yourVISA card
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VISA"
IMPORTANT: Copycompleteaccount numberfrom yourMasterCard
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copyNumberaboveyo_°meonM_te_ _ _xp_oo_te[:U]77-q
IMPORTANT: Copycompleteaccount number from yourDiscover Card
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AUTHORIZED SIGNATURE
44
Print or type your name and
address clearly.
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Name:
Street:
A complete and correct order will
save you days of waiting.
City:
State;
Daytime Phone No.:
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.
• Prices are subject to change without notice
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