| Thank you for your order! | SUBTOTAL: __________________ SALES TAX: _________________ SHIPPING: ___________________ TOTAL: ______________________ |
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| Card Number: _______ _______ _______ _______ Card Type: MC( ) Visa( ). Exp. Date: ___/___ (mo/yr) Cardholder's name as it appears on the card: _________________________________________________________ Mail order to:______________________________________________ Street or P.O.______________________________________________ City & State_______________________________Zip_____________ Country of Origin__________________________________________ Phone___________________________________________________ Billing Address if different from the shipping address: Street or P.O. _________________________________________________________ City & State_______________________________Zip_____________ Country of Origin__________________________________________ Phone___________________________________________________ FINE MEDIA INTERNATIONAL |
VISA-MASTER CARDS - OK. Sorry no C.O.D.'s. Street address needed for UPS orders. Include area code & phone if available. Foreign orders payable in U.S. currency only. Foreign air or surface rates quoted on request. Due to the decimating charges made by U.S. banks when processing foreign PERSONAL checks, cash and bank checks not payable in U.S. dollars through a United States bank, we ask that ALL foreign payments for subscriptions, advertising and/or products be made in the form of a certified, International Bank Draft or Money Order payable in U.S. dollars which can be drawn for payment by or through a domestic United States bank, shown on the check or money order so tendered. |
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