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Please confirm order information, enter billing and shipping information, and click "Checkout."    HELP

        Order Totals                                        


Product ID:

174867

Product Name:

T-shirt Large

Unit Cost:

$50.00

Unit TAX:

5%

Quantity:

10

Subtotal:

$500.00

Order TAX:

$50.00

Shipping:

$10.00

Total to be charged:

$560.00


        Billing Information                                        


Credit Card Type:

 

Credit Card Number:

Last Name:

First Name:

Middle Name/Initial (if present):

Expiration Date (mm/dd/yyyy):

Address:

City:

State:

Zip Code:

Phone Number:


Check here if Shipping Information is the same as Billing:



        Shipping Information                                        


Last Name:

First Name:

Address:

City:

State:

Zip Code:

Phone Number:


checkout.GIF (238 bytes)back.gif (171 bytes)