BILLING INFORMATION			SHIPPING INFORMATION Fill in only if different from billing address
*Name *Address *City *State *Zip Country			Name Address City State Zip Country
CONTACT INFORMATION
Daytime Phone with Area Code			Evening Phone with Area Code
*E-mail Address
*Please re-type E-mail Address

ITEM/DESCRIPTION	HOW MANY?	COST PER ITEM	ITEM TOTAL COST
CA Residents - 7.25% Sales Tax will be added to your order
*Shipping We charge no handling fees, so you pay only for the cost of shipping, which will be added to your total.  We ship primarily via United States Postal Service but may also ship via UPS, whichever is most economical.  Upon receipt of your order, we will calculate your total with shipping charges and any applicable sales tax (for California residents) and will send you an e-mail confirmation with the total for your order. Payment Information We accept payment via PayPal (our on-line secure credit card processor), or with personal check or money order. Please select one of the following payment methods: Personal Check Money Order PayPal Include any comments or other information here...

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