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International Order Form Mail Orders and Faxes (Shipped outside the US) Note: DVD's are recorded for all regions, be sure your monitor supports NTSC Ordered by: Name:__________________________________________________ Address:________________________________________________ City_______________________Province______________________ Country____________________Postal Code___________________ Telephone:_______________________________________________ Email Address:___________________________________________ Circle One: US Money Order Mastercard Visa Credit Card Number:______________________________________ Expiration Date:__________________________________________ Signature_______________________________________________
Ship to: (Fill out if order is going to someone else) Name:__________________________________________________ Address:________________________________________________ City_______________________Province______________________ Country____________________Postal Code___________________ Telephone:_______________________________________________
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> You may pay for your merchandise by US Dollar Money Order or Mastercard and Visa only. FAX Your Order 24 hours per day (717) 763-0943
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