Mode de Paiement
16
Method of Payment
METHOD OF PAYMENT
Please do not send cash.
Check/Money Order enclosed (Payable to: KidCo, Inc.)
VISA (13 or 16 digits)
Mastercard (16 Digits)
Mo.
Yr.
Credit card account number
Expiration date (required)
Signature of cardholder
Date
Please print name of cardholder
Name
Day time phone no.
Street address
Unit
City
State
Zip
Order amount
$
Shipping & handling
$
Total
$
1013 Technology Way
Libertyville, IL 60048-5349
SHIPPING AND HANDLING CHARGES
If order includes extension tubes, bars or
spindles add $8.00
All others add $5.00
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