866gaiters.com order form
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Subject: Orienteering Order

Name as appears on Credit Card:
Billing Address 1:
Billing Address 2:
City, ST ZIP:

Is this a residential address per FedEx? (Y / N):
If business, Business Name:
Ship to name (if different):
Shipping Address (if different):

Home phone:
Work phone:
E-mail:

Visa/MC/Disc/AmEx # first 8 digits only, we will contact you for the rest:
Expires:
CC Verification Code:
Name on CC (If different):

Please ship this week.
If items are backordered, this order is needed by the end day: / /2009

Qty - Description including clothing size & color - Price (or Extended Price)
1 - first item description - $
1
- second item
description - $
1
- third item
description - $
1
- fourth item
description - $

Donation to the Junior Teams: $.00

Shipping: to be determined.
Shipping USA $9 if under 2 LB
Canada $11 if or 30cm x 20 cm x 2 cm under 2 LB via USPS Regular Air Mail,
International via Air Mail $11 if less than 30cm x 20 cm
x 2 cm