MAIL ORDER FORM
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ORDERED BY
Full Name____________________________________________________________________________________
Street Address________________________________________________________________________________
City__________________________________________________________________________________________
State/Providence__________________________________Country_____________________________________
Zip/Postal Code___________________________________Day Time Phone #____________________________
Email Address____________________________________ User ID______________________________________
...

Qty	Item #	Item Description	$ Each	Amount
.	.	.	.	.
.	.	.	.	.
.	.	.	.	.
.	.	.	Sub-total	.
.	.	CA tax add 7.75%	Tax	.
.	.	.	Shipping	.
.	.	.	Total	.

SHIPPING

IMPORTANT:  International Postage & Handling Info!
Checks/Money Orders in U.S. FUNDS, or w/U.S. BANKS ONLY.
1. Canada Orders - see listing for the shipping amount.
2. All Other Countries - see listing for the shipping amount.

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PAYMENT METHOD:  Check   Money Order 

Print and mail this order form along with payment made out to:
Benjamin Perez
PO Box 2551
Orange, CA 92859

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