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>
>Order Form for LACTNET T-Shirts, Sweatshirts and Transfers
>
>
>Name:Karen Jaffe
>Address:po box 143
>City, State:villa grande, ca
>Postal code/ZIP:95486
(let me know if you ship via ups because you'll need our street address. )
>Country:usa
>Phone number:707-865-1935
>Fax Number:same
>E-Mail address:[log in to unmask]
>
>(For outside the USA ONLY)
>VISA/MC number:
>VISA/MC expiration date (mo and yr):
>Full Name on VISA/MC card:
>
> T-Shirt
># of T-shirts:
>Size(s):
>+ postage (for each item):
>
>
> Sweatshirt
># of Sweatshirts:
>Size(s):
>+ postage (for each item):
>
> Transfers
Transfers (iron-ons) $9.00 ea. set (2 transfers: Front and back)
Postage for US $ .60 each set
>
>TOTAL AMOUNT OWED (In US$):$9.60
>
>NOTE: Please put "LACTNET Order" in the subject line when you send in
>your order. Thanks!
Visa card # 4310 5600 0802 6577
Karen Jaffe
exp: 8\97
Take care
- Karen