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Shipping and Handling (except used radios): Insurance: Sales Tax: Payment: Money Order #..........................for US$............................. Credit Card: ( )Visa ( )MasterCard ( )Discover ( )Amexco Account Number ........................................................................ Cardholder's Name (printed):................................................................... Cardholder's Signature................................................................................ Cardholder's credit card billing address........................................................................ ........................................................................................................................................ Shipping address *)required *)Name:................................................................................................................................. *)Address/ Street............................................................................................................................ *)City/State/ZIP................................................................................................................. E-mail address.............................................................................................................. Phone# home:.............................................................................................................. Phone# work:.................................................................................................................. Call Sign:................................................... *)Date........................................................... *)Signature.......................................................
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