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To Order By Mail or Fax, Print and send this completed form to:
bike log
1805 Penfield Road Fax to: (585) 385-3606
Penfield, NY 14526 Send e-mail to: ron@bikelog.com
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Name ______________________________________________________________
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Address ______________________________________________________________
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City __________________________ State _______________ Zip _____________
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Phone ____________________ Email __________________________________
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| How did you hear about bike log? _______________________________________ |
| Please send me ______ bike log (s) @ $12.00 each = |
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New York State Residents add 8 % sales tax =
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Total Enclosed =
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| $12.00 Includes FREE shipping anywhere in the USA!!! |
| Enclosed is my check, money order or completed credit card information below. |
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Charge my credit card: (circle one)
(VISA) (MasterCard) / Last 3 Digits on back of card #__________
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| Credit Card # ______________________________ Exp. Date: Mo. _______ Yr.______ |
| Signature: _____________________________________________________________ |
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