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EMAIL ADDRESS IS REQUIRED FOR ELECTRONIC STANDARDS ORDERS: FIRM NAME: INDIVIDUAL NAME: POSTAL ADDRESS: STATE: POSTAL CODE: PHONE: ( COUNTRY: ) Residential Address CITY: FAX:( Commercial Address IF USING A CREDIT CARD: VISA CARD No: EXPIRY DATE: PAYMENT FORM: CASH ) CHEQUE CREDIT CARD MASTERCARD EXACT NAME ON CARD: V-CODE: SIGNATURE OF CARD HOLDER: Shipping & Handling Chart for all orders: Order.

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