1944 Militaria 211 Pennsgrove-Auburn Rd. Pedricktown, NJ 08067 USA FAX # 1-856-299-0413
Please print this page out and fax or include payment with mailing. Please print clearly.
| Description | Size | Quantity | Price | Total |
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BILLING ADDRESS Name
______________________________________________________________________________________ Country_________________Telephone (____)__________________ Fax or E-mail ____________________ |
SUBTOTAL | |||
| NJ Tax 7% (Residents Only) | ||||
| SHIPPING & HANDLING | ||||
| TOTAL | ||||
PLEASE NO PERSONAL CHECKS SORRY NO C.O.D.'s
Credit Card Information (Visa, MC, or Discover Card only)
| Credit Card Number |
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Expiration Date (month/year)
____/____ |
Security Code (back of card in
the signature panel)
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Signature: ________________________________ (Required for Credit Card Order)
SHIPPING ADDRESS (if different from above)
Name _______________________________________________________________________________________________________
Street
Address (No P.O.
Box's)__________________________________________________________________________________
City____________________________State/Province____________ Zip
Code______________
Country_________________Telephone (____)__________________ Fax or E-mail ______________________________________