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Order Form - Order by U S Mail - Or Fax to 770-385-7375 |
Phone# - Fax# - Date - / / |
| Name - |
| Address - Apt.# - |
| City - State - Zip - |
Qty |
Description |
Unit Price |
Total |
Payment Details |
Sub Total | |
| Cash | Processing Fee | $6.00 |
| Check Money Order | Shipping and Handling 15% of Sub Total | |
| Credit Card Amex | Georgia Custmors Only! State Taxes 7% of Sub Total | |
| Mastercard Visa | Total |
Card Number: Exp. DATE: / / |
| AVS-Security Code - The Last 3 # On Back of Credit Card - |
| Cardholders Signature: Cardholders Date of Brith: / / |
| E-Mail Address - |
| Remarks/Commits - |
|
Noveltyguns - P.O. Box 68 - Oxford, Georgia, 30054 |
Thank you for Shopping with Noveltyguns.com - Internet Superstore - Best on the Web |
