Hairagami Set
	SECURE ORDER FORM

Please fill out order form below OR send CHECK by mail to:
CYBERBRANDS INTERNATIONAL , P.O. Box 7150, Torrance, Ca. 90504

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Hairagami Set	1 Hairagami Set - $19.95 + $5.95 S/H 2 Hairagami Sets - $39.95 + $7.95 S/H
Payment Method:	Master Card Visa American Express Discover
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Expiration Date:	JAN FEB MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER    OCTOBER NOVEMBER DECEMBERNONE 2001 2002 2003 2004 2005 2006 NONE
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	Shipping Information - Complete ONLY if different from Billing Information.
Shipping Name: First, Initial, Last
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Shipping Method	STANDARD UPS GROUND 3 BUSINESS DAY SELECT SERVICE ADD $4.95 2ND DAY AIR ADD $9.95 U.S. MAIL SERVICE

(Add $6.00 for shipments to Alaska, Hawaii and Puerto Rico)

COMMENTS

Please re-check your order before sending.

* Orders received before 11AM PST will be shipped from our distribution center the following day. Orders received after 11AM PST will be shipped two days following receipt of your order. If you requested Express delivery service, please allow 2-3 days for delivery from the date that we ship your order.

Or Call 1-800-350-3394 to place order.

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