Order Form |
 | P.O. Box 447 Geneva, N.Y. 14456 (315)789-3255 |
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| Name_________________________________________ | | Address________________________________________ | | Phone #____________________________ | | E-mail_____________________________ | City______________________________________ | State_________ Zip/Postal Code______________ |
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| Qty | Description | Unit Price | Total | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Call (315)789-3255 to place an order by   | Quanity Discount | | | Subtotal | | International orders, add $6.00 Shipping & Handling | Shipping (Add $4.00) | | | (rev 4/06) | Total | |
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| Name ______________________________________ |
| Expiration Date____________ |
| Card #______________________________________ |
Check or Money Orders Payable to: Thomas Video P.O. Box 447 Geneva, NY 14456 |
www.thomasracingvideos.com |