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***service shipped within 2 days no shipping between Dec20 to March 20***

Daytime Phone: (optional)
Email Address: (required)

Billing Address:

Name: first last
Address:
Address2:
City: State:

USA only Zipcode:

Same
Shipping Address:

Name:
Address:
Address2:
City: State:

USA only   Zipcode:

State Tax:

Payment Method:
BankCheck Money Order Computer Transfer
(for secure computer transfer we accept YAHOO or PAYPAL)
Choose:YAHOO PAYPAL

After E-Mail Purchase Request and Confirmation of Availablity a Billing Invoice will be Returned to above E-Mail Address, all Payments Due within 7 Days. Services Shipped within 2 Days after Receipt of Payment.

If any problems incountered e-mailing this form because of "mailto:" blocks, simply mail your request with above information to dorrdgrs@yahoo.com

Message:

Pay me securely with any major credit card through PayPal!

We also accept payment for mail orders by cash, check or money order.
***service shipped within 2 days no shipping between Dec20 to March 20***

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