| Order
the 2012 Limited Editions Calendar |
| My
Name: |
|
| Business
Name: |
|
| Mailing
Address: |
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| Billing
Address: |
|
| City: |
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| State: |
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| Zip
Code: |
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| Phone: |
xxx-xxx-xxxx |
| Email
Address: |
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| #
Calendars Ordered: |
at $10.60
each (includes sales tax) |
Shipping
and Handling Charges will be added to your
order
$8 for 1 calendar, $10 for 2
calendars, $14 for 3, $16 for 4, $18 for
5. Call for quantities of 6 or more. |
|
|
Payment Information |
| Method
of Payment: |
 |
| Credit
Card Number: |
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| Security
Code: |
3 digit code (rightmost) on
back of card |
| Expiration
Date: |
Month
|
Year
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| Cardholder
Name: |
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