Please provide the following ordering information:

Please TAB between columns. Thanks

DESCRIPTION	QTY	ITEM #	PRICE	SUBTOTAL

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	BILLING	CID #
Account Name
Credit card type
Credit Card Number
Exp. Date

CID number is located on the back of your credit card in the signature line (3 numbers)

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone Number
Email Address