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| Web Site: http://www.thescope2000.com | The Scope 2000 - "Helping You Expand Your Scope!" |
If You Prefer to Pay by Mail - Please Print this Form, Fill it out and Mail it:
þ Fill out your Shipping and billing address information þ Select your Payment Method þ Order the item and amount | |||||
| Shipping Address: | Billing Address (if different): | ||||
| Name | Name | ||||
| Street | Street | ||||
| City/State | City/State | ||||
| Phone | Phone | ||||
Credit Card Information: | |||||
| Credit Card Name | |||||
| Credit Card # | |||||
| Expiration Date | |||||
| Checks or Money Orders: | Personal Checks must clear before your products are sent out. Another option is a postal money order clears immediately. | ||||
Make checks payable to: Joan P. Garcia | |||||
| Mail form & payment to: | Joan P. Garcia The Scope 2000 135 Ocean Parkway Brooklyn, NY 11218 | ||||
| Description of Product | Price | Quantity | Total Price |
12 Zodiac Signs Screensaver on CD - with Music (plus all of the 12 free Zodiac Screen Savers) | $9.95 | ||
12 Zodiac Signs Screensaver on CD - without Music (plus all of the 12 free Zodiac Screen Savers) | $9.95 | ||
| Circle the 3 Free Zodiac Screen Savers to be sent with the 12 Zodiac Signs Screen Saver: | |||
| Aries | Taurus | Gemini | Cancer | Leo | Virgo | Libra | Scorpio | Sagittarius | Capricorn | Aquarius | Pisces |
SUBTOTAL | |||||||||||
U.S. Priority Mail - Please Add $4.60 for each Screensaver | |||||||||||
New York State Residents - Must Add New York Sales Tax - 8.25% | |||||||||||
TOTAL | |||||||||||
Questions about your Order? E-mail: orders@thescope2000.com; (718) 972-7563
