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TO ORDER:Please print out this form, then complete and return it to the address indicated below. Note: Orders are processed on a "first-come, first-served" basis.
Item (Limit 5 per customer).........................*Price.......Qty..................Total Autographed by Shaquille ................................. $165 x ______ = $ _____________ Without Shaquille Autograph................................$ 65 x ______ = $ _____________ Total........................................................................................... = $ _____________ (MI residents add 4% Sales Tax) ................................................ + $ _____________ TOTAL AMOUNT DUE: ............................................................. $ _____________
- Price includes Postage & Handling in Continental U.S.
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METHOD OF PAYMENT:
Ex. Date:_______________
Name:
Address (no P.O. boxes please): City: __________________________________ State: _____ Zip: ____________ Phone: (______)_________________________ Order Option: In the event GMI sells out of the Shaquille autographed litho, please substitute the non-autographed version, and return the price difference to me. Indicate option selected:
Signature:________________________________________________________ Date:_________________
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