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Please Fill out this form and then Print it. |
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Please Fill out this form and then Print it. |
| Special Offer #CDP 752 | Product Description |
Price | Qty. |
  |
Special Introductory Offer |
$37.99 with Free Freight |
|
| Add $4.35
shipping & handling per order plus $0.50
per item for U.S. Shipments (U.S. insured, priority
mail). Request Shipping outside U.S. via E-Mail. |
|
| Add 6.60% sales tax for Kansas residents | |
| Total Amount of Purchase: |
| Credit Card Type: | ||
| Credit Card Number: | Exp Date: | |
| Name on Card: | ||
| Shipping Address: | ||
| City: | ||
| State: | ZIP: | |
| Phone: | Fax: | |
| E-Mail Address: |
