PAYPAL ORDER FORM

TO HELP MAKE YOUR SHOPPING EXPERIENCE WITH PAYPAL AS EASY AS POSSIBLE, YOU MAY WISH TO USE THE LINK BELOW TO OPEN THE HOME PAGE.  YOU CAN THEN COPY ITEM NUMBERS TO THIS ORDER FORM.

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THANK YOU IN ADVANCE FOR YOUR ORDER TODAY

                            MICHAEL

NAME            

ADDRESS      

CITY, STATE, AND ZIP CODE

PHONE NUMBER

EMAIL ADDRESS

SHIP TO NAME AND ADDRESS

ITEM NUMBER         QUANTITY                DESCRIPTION     

COMMENTS:

IF YOU EXPERIENCE A PROBLEM WITH THIS ORDER FORM PLEASE CALL 1-800-237-1804