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SECURE CHECKOUT
Trainman Productions
Rt 1 Box 1411
Wheatland MO 65779
417-282-6988 phone
417-282-6983 fax
SECURE ORDER FORM
DATE:
14 May 2008
TIME:
03:27:23 AM
ORDER NUMBER:
676667
TERMS:
PrePaid
SHIP VIA:
UPS
SOLD TO:
* = required field
*Name
*Street address
Address (cont.)
*City
*State/Province
*Zip/Postal code
Country
Daytime Phone
E-mail
Shopping Cart Contents
Qty
Description
Each
Total
Sub Total
$0.00
Shipping outside the US is a minimum $10
Shipping
$5.00
Total
$5.00
Credit Card Info
*Card Type
VISA
M/C
Discover
AMEX
Bank Card
*Card Number
*Exp Date
*Name on Card
Questions/Comments