Qty	Item	Description	Price

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UPS Ground - Actual charges will apply UPS Two-day Air - Actual charges will apply UPS overnight - Actual charges will apply Fed-ex overnight - Actual charges will apply

Enter Customer Information Below

First Name	Last Name
Company Name (optional)
Address
City	State	Postal Code
Country
Phone:
Ship To Address  Check if shipping address is the same as mailing address above.
First Name	Last Name
Company Name (optional)
Address
City	State	Postal Code
Country
Payment Information
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Master Card	Discover
Visa
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Card Number	Expire
E-Mail Address (required)

Additional Instructions or comments:

You will be provided an opportunity to preview and change your order before it is processed. Once submitted, we will confirm your order via email. All orders are normally shipped within two days. If you have any questions, or prefer to place your order via the phone, you can reach us by dialing (269)781-5923. If you wish, you can fax this order to (269)781-3740. International Orders - prices are the same as US orders, but actual shipping charges will apply.