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Fax/Phone/Mail Order Sheet Print this Form and: Fax to 877-747-2838) Telephone Orders 1.877.PIRATE-8 (877.747.2838) Check/Money Order: Dress Like A Pirate PO Box 25032 Portland, OR 97225 USA |
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Fax/Phone/Mail Order Sheet Print this Form and: Fax to 877-747-2838) Telephone Orders 1.877.PIRATE-8 (877.747.2838) Check/Money Order: Dress Like A Pirate PO Box 25032 Portland, OR 97225 USA |
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| Item # | Name | Size | Color | Price | Quant. | Total |
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IF SENDING BY CHECK OR MONEY ORDER, BE SURE TO LET THE SITE CALCULATE YOUR SHIPPING, AND ADD TO TOTAL WITH METHOD CHOSEN |
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Merchandise Total: _____________________
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Name on Card___________________________ Visa MC Amex Disc (circle one) Number______-______-______-______ Exp:_____ Billing Address: __________________________________ __________________________________ __________________________________ _____________________Zip: _________ Telephone:_________________________ E-mail address____________________________ |
Ship To: (Circle This if Same) __________________________________ __________________________________ __________________________________ ________________________Zip: _______ Shipping Method Preferred: (circle one) UPS: Ground 3 Day Air 2 Day Air 1Day 1Day Saver USPS: Priority Express Int'l Air Post Global Priority Other:____________ |