Shipping
Information:
Name:
____________________________________________________
Street:____________________________________________________
City:
______________________________ State: _______ Zip:_______
Telephone:
______________________________
Method of Payment:
___Personal Check ___Money Order ___Credit Card
If
Credit Card circle one: Visa MasterCard
Discover
Credit Card Number: __________________________Exp.
date: ____
Credit Card
Holder's Signature: _________________________________
Preferred Method of
Shipping: (circle one) US Postal Service UPS
RPS Best Way
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