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Order Summnary

Order #65487

Subtotal	$400
Estimated Tax	$1.44
Shiping	$5

$406.44

USD

ORDER TOTAL

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1. Checkout Method

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2. Billing Information

First Name*

Company

Last Name*

Email Address*

Address

City*

Zip/Postal Code*

Telephone*

State/Province*

Country*

Fax

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3. Shipping Information

First Name*

Company

Last Name*

Email Address*

Address

City*

Zip/Postal Code*

Telephone*

State/Province*

Country*

Fax

Use Billing Address

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4. Shipping Method

	Method	Deliver Time	Cost
	Free Shipping	10 to 15 days	Free
	Standard post	4 to 7 days	$9.95
	Next day	tomorrow	$19

5. Payment Information

Paypal

Check / Money order

Credit Card (saved)

Name on Card*

Credit Card Type*

Credit Card Number*

Credit Expiration month*

Credit Expiration year*

CNV*

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6. Order Review

Product	Product Title	Qty	Unit Price	Tax	Total
Subtotal					$1540.00
Shipping & Handling (Free)					$0.00
Tax					$49.00
Subtotal					$1340.00
	Lorem Ipsum dolor		$825.00	$16.00	$841.00
	Lorem Ipsum dolor		$825.00	$16.00	$841.00