Arizona
P.O. Box 3805 Sedona, Arizona 86340 (928) 203-0934 FAX: (928) 282-5712 |
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Nevada
2235 East Flamingo, Ste.201G Las Vegas, Nevada 89119 (702) 615-8980: |
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ORDER FORM
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Contact ___________________________________________________________
Company name _____________________________________________________
Address ___________________________________________________________
City _____________________________State ______ Zip ________
Telephone (______) _____________________________________
Fax (______) ___________________________________________
Email _________________________________________________
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SHIP TO:
COMPANY NAME:
________________________________________________________
Contact ________________________________________________
Address ________________________________________________
City ______________________________State______Zip________
PHONE Order: 928-203-0934 Order Online at: www.AMPPictures.com |
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Quantity |
Item |
Unit Price |
TOTAL |
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2 – CD SET: The United States of America – The Music and Words of Patriotism |
$ 19.99
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$
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48-Page booklet - Limited Edition “Words of Patriotism” (with first 5000 orders) |
FREE |
FREE |
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_____ ENCLOSED IS MY CHECK (payable to AMP PICTURES, INC./USACD)
Charge my Visa _________ MasterCard _________ AmEx _________
Account No. ________________________________________________________
Phone (______) _____________________________________________________
Expiration Date_______________________________
SIGNATURE |
MERCHANDISE TOTAL |
$ |
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SHIPPING & HANDLING (Priority Mail) |
$ 9.95 |
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$ 14.00 |
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AZ RESIDENTS ADD 6.4% TAX |
$ |
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NV RESIDENTS ADD 7.25% TAX |
$ |
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TOTAL |
$ |
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enjoy!!
thank you for your support. |
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please send or fax this form along with your check or credit card information to: AMP PICTURES, INC. P.O. Box 3805 Sedona, Arizona 86340
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