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90400-2

Attn: Individual Returns

47-50 33rd Street

Long Island City, NY 11101

(718)-729-8890

Battery

$   4.00

Case

   10.00

Bezel

     6.00

Band(Polyurethane)

   12.00

Band(Leather)

   12.00

Band(Metal)  

 

   20.00

Band(Nylon)  

 

     7.00

Processing and handling       8.50

________

Total

$

Check or Money Order
Master Card
Visa

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Account#

Expiration Date

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Printed Name

__________________________________
Address

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__________________________________

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Phone Number

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Signature

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