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For Credit Card Orders

visa-mastercard-discover

Company Name:
First Name: Middle Initial:
Last Name:
Phone Number:
Fax Number:
Email Address:
Home Page URL:
Mailing Address:
City: State: Zip:
Country:


Item #

Description

Price


Total of items ordered

Shipping Charges -Domestic & Canada..add $4.00

Shipping Charges ..Foreign orders ..add $8.00

Total of your order


Credit Card Information. For your safety, the shipping address
above must be the billing address for your credit card.


Name as it appears on card
Card number Expiration date




If you have some suggestions, comments or ideas you can email me at richie@comicsoncdrom.com.

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