| Purchaser:
Name:_____________________________________ Address:___________________________________ City/State/Zip:_______________________________ Phone:_____________________________________ Fax:_______________________________________ Email:______________________________________ |
Ship To:
Name:___________________________________ Address:_________________________________ City/State/Zip:_____________________________ Country:_________________________________ Contact Name:_____________________________ Phone:(B)_________________(H)_____________ |
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COLOR |
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| VISA q
MASTERCARD q AMERICAN
EXPRESS q DISCOVER q
DINERS
CLUB q
CREDIT CARD #________________________________ EXP. DATE_____________________ NAME ON CARD________________________________ CARDHOLDER SIGNATURE_______________________________ |
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| Shipments outside the U.S. subject to additional shipping charges. International shipments may be subject to import charges and taxes to be paid by the purchaser. Payment in U.S. funds only. |
(see chart) |
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| U.S. SHIPPING RATES FOR BANDANAS:$0.08 per item |
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to: She Plays Sports, Inc Mail to:
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1-215-784-1162 · For Phone Orders or Info Toll-Free 1-877-SHE-PLAYS sheplasp@voicenet.com |
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