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ORDER FORM
Please process my order for the World's Smallest Radio:
No. _______ of Radio's at ____________per unit (see list above - If retail packaging is required please add .50¢ per unit)- Total $ _________ amount of order
Ø Minimum order: Cash or Money Order - $15.00 Credit Card - $20.00
To be shipped to:
Name: ____________________________ Company: __________________
Address: _________________________________________________________
City: _______________ Zip Code: ___________State: ____________ Country: ___________
Method of payment: [ ] check enclosed [ ] C.O.D. orders (COD charges will apply)
Payment to be made as follows:
[ ] Please invoice me - to be paid prior to shipment
[ ] Payment by bank transfer – ask us for bank details
[ ] Charge my [ ] MasterCard [ ] Visa [ ] American Express [ ] Discovercard
Signature: ________________________________
Expiration Date: __________________________
Card No. ______________________________
ORDER FORM
Please process my order for the World's Smallest Radio:
No. _______ of Radio's at ____________per unit (see list above - If retail packaging is required please add .50¢ per unit)- Total $ _________ amount of order
Ø Minimum order: Cash or Money Order - $15.00 Credit Card - $20.00
To be shipped to:
Name: ____________________________ Company: __________________
Address: _________________________________________________________
City: _______________ Zip Code: ___________State: ____________ Country: ___________
Method of payment: [ ] check enclosed [ ] C.O.D. orders (COD charges will apply)
Payment to be made as follows:
[ ] Please invoice me - to be paid prior to shipment
[ ] Payment by bank transfer – ask us for bank details
[ ] Charge my [ ] MasterCard [ ] Visa [ ] American Express [ ] Discovercard
Signature: ________________________________
Expiration Date: __________________________
Card No. ______________________________
