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Plus $15.00 Shipping and Handling, for the entire
order, regardless of size, within the USA and
Canada.
International orders will be charged actual shipping costs.
Order Total _______________
Name _______________________________________________
Phone________________________
Email Address _______________________
Street Address ________________________
City_________________________________ State____
Postal Code (Zip) _________________Country_______
___ Check Enclosed ____ Credit Card
Visa or MasterCard Number ____ ____ ____ ____
Expiration Date_____
Vericode (last three
digits on signature line on back of credit card)_____
Billing address if different from above
______________________________________________
Name on Card if different from above ______________________________________________
Please print out this
form and mail it to :
[or copy this form and send by E mail to
gammajo@bellsouth.net]
Rainbow Ventures
120 Garden Hill Dr
Hendersonville, NC 28739
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