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Get Name: Address: City: State: Zip: Home Phone: Work Phone: Daytime ...

Mastercard UPS Ground - Actual shipping charge per UPS. Expedited Shipping (check appropriate box): Name on Card: 3 Day Shipping - Actual shipping charge per UPS. Card Number: Expiration Date: 2 Day Shipping - Actual shipping charge per UPS. Billing Zip: Overnight - Actual shipping charge per UPS. Go to: http://www.ups.com/ - Select "Calculate Time & Cost" for approximate cost. Security Code (three digit # on back of card): Service Checklist: Please choose one or more of the descriptive.

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