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Complete All Information, Print Form, Then Mail This Form To:

Take Ten Off
622 Stone Road
Rochester, NY  14616

Shipping Information

First and Last Name(s):
If ordering multiple cards, please use 1 name per line. 

Shipping Address:
Including complete 
street address, city, 
state and zip code.

Phone Number:

E-Mail Address:

Credit Card Information (If Paying By Credit/Debit Card)

Visa/MasterCard/Discover#:

Visa/MasterCard/Amex/Discover Expiration Date:

Product Description

Take Ten Off Card Add $1.50 S&H

Shipping Prices

   Upgrade to OverNight S&H $15 Extra (Standard S&H Fee Shown Above)

Total Cost (USD)

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