| ORDER YOUR |
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| PRINT, COMPLETE & MAIL or FAX TO: |
| UrAteUp |
| A Division of Crown Publ., Inc |
| P.O. BOX 1050 RANTOUL, IL 61866-2903 sales@bellybuttonwindows.com Toll Free Fax: (888) 704-4687 |
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| GENDER | QUANTITY | TOTAL COST | |||
| Male Figurine | M-BBW |
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| Female Figurine | F-BBW |
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| Illinois Residents Add 8.5% Sales Tax. $1.27 per item. | + | ||||
| Shipping via USPS
First Class: $7.50 for first item, $2.50 each additional item. |
Shipping | + | |||
| All Orders Ship in 3-5 Work Days |
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| NEW! Online Order Now Available | |
| Check or Money Order Payable to: UrAteUp Amount $___________________ |
| Credit Card # ___________________________________ | |
| Expiration Date______/______ | |
| V-Code:________ | (Last 3 or
4 digit number located on the back of your card on the signature panel.) |
| Check Type of Card: | |
| ______American
Express ______ VISA ______Discover ______Master Card |
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| Authorized Signature_____________________________ | |
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