CREDIT CARD ORDER FORM
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CARDHOLDER NAME |
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COMPANY NAME |
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MAILING ADDRESS |
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PHONE NUMBER |
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CITY, STATE, ZIP CODE |
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CREDIT CARD TYPE |
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CREDIT CARD NUMBER |
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EXPIRATION DATE |
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DESCRIPTION |
SKU# |
Qty. |
PRICE |
TOTAL |
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Orders will be shipped within 24 hours after card has been processed. Please print this form, fill out and fax to |
subtotal |
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tax (6%) MI |
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S&H |
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Total |
