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Fax or Mail Order Form: |
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Customer Information:
Customer Name: ____________________________________
Address: ___________________________________________
City: ______________________State: _______________
Zip:_______________
Telephone: __________________ Fax: ___________________
E-mail: ____________________________
Payment Options
___ Pay by Credit Card
Card: ___MasterCard ___Visa ___American Express
Number: ___________________________________
Expiration Date: __________
___ Pay by Check
Please send the total amount to:
Underworks
7170 S.W. 47th St.
Miami, Florida 33155
U.S.A.
Email: info@underworks.com
24 hour Automated Order Desk: (800) 242-4224
Fax: (305) 668-1770
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Underworks 1997