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World Collectible Center |
Order Form Date: |
| Shipping Information: (please type or print) |
| Name: |
| Billing Address (must be credit card billing address): |
| City: State: Zip: |
| E-mail Address: Daytime Phone: |
| Shipping Address (if different than Billing address): |
| City: State: Zip: |
| Item Name | Price Each | Qty | Amount |
| SubTotal | |
| NY Residents add 8.25% Sales Tax to SubTotal (Other states put 0) | |
| Shipping and Handling | FREE! |
| Total |
| Billing Information:
___Check ___Money
Order
___Visa
___MasterCard ___Discover ___Amex ___JCB Credit Card Number__________________________________ Expiration Date________ Name as it appears on Card___________________________ Billing Zip Code________ Signature______________________________________ Make checks payable to: World
Collectible Center Inc |