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Billing Address

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Shipping Address

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Payment Method

Credit Card

number valid
number invalid

expiration valid
expiration invalid
Your card will be authorized but not charged until your order ships
Credit Card (call or pay online when your order is ready to ship)
PayPal (send a PayPal invoice to the billing e-mail)
Net 30 (subject to approval)  [what is this]
Purchase Order #

Shipping Options*

Carrier Method Account No.
Allow Partial Shipments  [what is this]

Comments / Instructions

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Order Summary

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*Actual shipping charges will be applied when your order ships.  [why?]