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Payment may be made by Visa, Mastercard, American Express, Cheque or Money Order.
Credit terms available to approved accounts.
PLEASE NOTE: $15.00 HANDLING CHARGE WILL BE ADDED TO ORDERS UNDER $60.00.
Shipping Charges are extra at cost
New York State residents please add Sales Tax. Prices shown are in US Dollars

Name.................................................................Company.............................................................................................

Street Address or Mailing Address...................................................................................................................

City..........................................................................State.................................Zip Code................................

Telephone No.....................................Fax No..................................Email.........................................................

Payment method (circle) ........... Visa.......... Amex...... Cheque.......... P.O. No..................................

Card No...................................................................Security Code.................... Expiry........................

Cardholder's Name........................................................................................................................
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TOTAL


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JANUARY 2018