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IF YOUR CREDIT CARD EXPIRATION DATE IS NOT LISTED UNDER EXP. DATE, PLEASE ENTER IT IN THE SPECIAL NOTES SECTION BELOW

 Payment Information (Name, Address, and Payment Method):


First Name

Last Name

Street:

City:

State:

Zip:

Country:


Credit Card: VALUE="Visa">Visa VALUE="MasterCard">Mastercard

 

Number:

Exp. Date:

CVV2:

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 Shipping Information: (if different from above)

INTERNATIONAL SHIPPING USPS 5-10 DAY DELIVERY: $65

Method:

First Name

Last Name

Street:

City:

State:

Zip:

Country:


 Phone/Email


Phone:

E-Mail:


Special Notes:


Only one more step! Please click the Verify Order button below. This will give you the chance to examine your order one last time before you actually submit it to be processed.