Poker John's
Las Vegas Discount Package Order Form
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Please print this form, fill it in and mail with total payment to: John F. Wiley
II, Realtor Acceptable forms of payment: U.S. Money Order, Bank Check or Cashier's Check All Payments to be in US Dollars No personal checks! |
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First
Name
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Last
Name
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Street
Address
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Apt.
Number
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City
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Zip
/ Postal Code
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State
/ Provence
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Country
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Email
Address (so that we can confirm shipment)
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Order and Shipping
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The package weighs 3 lbs, Shipping is per package Shipping &
handling & postage $5.50 for 2-day Priority Mail |
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Number
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Extension
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| Packages @ $7.77 ea | ||
| Priority Shipping (U.S.)@ $5.50 | ||
| Global Airmail (Can.) @ $8.00 | ||
| Global Airmail (Other) @ $10.00 | ||
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Total
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Thank You For Your Order!
Shipment will be made within 1 business day of receipt of your order and will be confirmed by email within 12 hours of shipment.
