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Get March Of Dimes Catalog

March of Dimes Product Order Form Ship to Name Company Address CityStateZip Daytime Phone Fax E-mail P. O. Box 932852 Atlanta GA 31193-2852 Phone Outside U*S* Fax E-mail 1-800-367-6630 1-770-280-4115 mod pbd. com for POs only Please use this form When submitting your order. Bill to if different than ship to address Name ITEM TITLE/DESCRIPTION Check payable to March of Dimes Purchase Order QUANTITY ORDERED Credit Card Sales/Use Tax At this time we are required by law to collect sales/use tax on all orders from the states of AR CA GA IA MD NY TX. If claiming tax exemption please attach a copy of your state sales tax exemption certificate. States subject to change. TOTAL AMOUNT SUBTOTAL Visa Promotion Code PRICE EACH American Express MasterCard Discover Account SignatureExp* Date SALES TAX CA GA MD NY only SHIPPING see below Prices subject to change without notice. YOU CAN NOW ORDER ONLINE AT WWW*MARCHOFDIMES*COM/CATALOG Standard Shipping Handling S H Charges Please allow 2 weeks for deliver from date order is received* Overnight second-day delivery and same-day shipments can be made for an additional cost. Please call for rates. Order Subtotal S H Charge 1-75. 99 76-499. 99 500-999. 99 1 000 or more Foreign shipments Call 1-770-280-4115 for rates. All orders outside the U*S* must be prepaid* S H charges subject to change without notice. Additional handling charges may apply when purchases are assessed customer-generated surcharges or processing fees. Call 914-997-4781 for more information*. Method of Payment All orders under 50 must be pre-paid with check or credit card. O. Box 932852 Atlanta GA 31193-2852 Phone Outside U*S* Fax E-mail 1-800-367-6630 1-770-280-4115 mod pbd. com for POs only Please use this form When submitting your order. Bill to if different than ship to address Name ITEM TITLE/DESCRIPTION Check payable to March of Dimes Purchase Order QUANTITY ORDERED Credit Card Sales/Use Tax At this time we are required by law to collect sales/use tax on all orders from the states of AR CA GA IA MD NY TX. com for POs only Please use this form When submitting your order. Bill to if different than ship to address Name ITEM TITLE/DESCRIPTION Check payable to March of Dimes Purchase Order QUANTITY ORDERED Credit Card Sales/Use Tax At this time we are required by law to collect sales/use tax on all orders from the states of AR CA GA IA MD NY TX. If claiming tax exemption please attach a copy of your state sales tax exemption certificate. States subject to change. If claiming tax exemption please attach a copy of your state sales tax exemption certificate. States subject to change. TOTAL AMOUNT SUBTOTAL Visa Promotion Code PRICE EACH American Express MasterCard Discover Account SignatureExp* Date SALES TAX CA GA MD NY only SHIPPING see below Prices subject to change without notice. TOTAL AMOUNT SUBTOTAL Visa Promotion Code PRICE EACH American Express MasterCard Discover Account SignatureExp* Date SALES TAX CA GA MD NY only SHIPPING see below Prices subject to change without notice. YOU CAN NOW ORDER ONLINE AT WWW*MARCHOFDIMES*COM/CATALOG Standard Shipping Handling S H Charges Please allow 2 weeks for deliver from date order is received* Overnight second-day delivery and same-day shipments can be made for an additional cost.

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