Ship to: At this time We ask that you send Money order To expidite service. Personal Checks are accepted But can take up to 2 Weeks to clear.
Payment Method. CHECK #_______ Money order______ Cashiers Check_____C.O.D._____
Itme NO # Description Quantity Cost TOTAL _______________________________________________________________________ $ 19.95
Ordered By ________________________ Subtotal_________________ Shipping $6.50 & Handling Insurance XXXXXXXX
TOTAL DUE $_____________ THANKYOU
Special Instructions:_________________________________________________ _______________________________________________________________________
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