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TopPun.com – Maximizing Prophets

SHIP TO:

Name: ___________________________________________________________ Address: ___________________________________________________________

City: _________________________ State: ___________ Zip: ____________

Phone: Product

Code

E-mail:

_________________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Design Code/Title or Description (include size for T-shirts)

Quantity

Price

PAYMENT METHOD

SHIPPING

SUBTOTAL

10% of order

6.75% Sales Tax

  • Check or Money Order

Account Number:

  • Credit Card (VISA, MC, Discover)

- E x p i r a t i o n D a t e : _ _ _ _ _ _ _ _ - _ _ _ _ _

- AVS 3-digit code:

________

(Continental U.S. 15%, AK & HI) (OH only) Shipping: $ 4 . 9 5 M i n i m u m GRAND TOTAL:

Mail your completed order to:

Authorized Signature:

THANK YOU for Ordering with TopPun.com Please add any comments or requests here:

TopPun.com 2628 Parkwood Ave Toledo, OH 43610-1319

Total

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