| Please print this from and fax to (207) 929-5117 or Mail to Distinct Impressions, PO Box 429, Bar Mills, ME 04004-0429 |
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Special Instructions (Inscriptions, Fonts) |
Payment: |
MasterCard __ |
VISA __ |
Check __ |
Money Order __ |
Credit Card No. ________________________ |
Exp Date |
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Name on card (if different) |
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Billing Address (if different) |
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