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M4 DESIGN ORDER FORM
(Yes, you can actually buy this stuff!)
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Due to security concerns, and the lack of a PROVEN standard for payment over
the internet, for your protection as well as ours, we have decided to rely on
"Snail Mail" as our preferred method of payment. This will change as soon as a
low cost, standard, reliable, safe and secure process becomes available to us.
Meanwhile. . .
Download, Print and Fill out this form and mail with your Check or Money Order
TO: M4 Design, 6860 Canby Ave.#120, Reseda, CA 91335 U.S.A. (818) 345-9123
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SHIP TO: (Sorry, no C.O.D.)
Name: ________________________________________________________________________
Address: _____________________________________________________________________
City: ____________________________________ State/Province: ___________________
Zip/Postal Code: _________________________ Country: __________________________
Phone: _________________ Fax: _______________ E-Mail: ________________________
How did you hear about the M4 Store? _________________________________________
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Product Description |Qty.|Price Ea.| S&H | Total |
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1. "ZipZwitch" - On/Off Switch for ZIP/JAZ | | $ 4.95 | 2.50 | |
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2. 3-D Professional Glasses | | $12.95 | 2.50 | |
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3. Hard Plastic 3-D Glasses | | $ 8.95 | 2.50 | |
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4. "Classic" Paper 3-D Glasses | | 6 for $5| 2.50 | |
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5. "Hand Held" Paper 3-D Glasses | | 6 for $1| .50 | |
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6. Eclipse Shades - Safe Solar Viewers | |5 for $10| 2.50 | |
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7. "Talking" Watch | | $14.95 | 2.50 | |
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8. "MIRACLE" Polishing Cloth | | $ 4.95 | 1.50 | |
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Sub Total | |
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California Residents Add 8.25% Sales Tax | |
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TOTAL ORDER (US$) | |
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