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BILLING AND SHIPPING INFORMATION

Please make sure the billing information you enter is the same as the billing address for the credit card with which you plan to pay. When you have completed the following form, please click SUBMIT INFORMATION below to continue to the payment page. NOTE: Fields marked with an * are required.

 BILLING INFORMATION    SHIPPING INFORMATION
  APO/FPO address, click here   My shipping is the same as my billing information.
* Full Name:
Exactly as it appears on your card
  * Full Name:
* Street Address:   * Street Address:
  Street Address (cont.):     Street Address (cont.):
* City:   * City:
*   *
* Zip/Postal Code:
Enter 'NA' if not applicable
  * Zip/Postal Code:
Enter 'NA' if not applicable
* Area:   * Area:
* Phone Number:   * Phone Number:
* Email Address:   * Email Address:
  * This address is: Residential Commercial

ADDITIONAL INFORMATION   SHIPPING METHOD
  Discount Code (if applicable):   * Choose Shipping Method:
Calculate Rates
USPS First Class  
USPS Priority Mail  
USPS Express  
Fed Ex Priority Overnight  
  Would you like this order gift wrapped? Yes: No:  
  If you select YES, $5.00 will be added to your order.
  If so, you may enter a message here:  
   
  Message and Comments:  
   
Proceed to the Payment Page.



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