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Please print the form below, fill it out, and mail it to us at the address listed at the bottom of the page. Or call us to place your order. Name:_____________________________________ Address:___________________________________ City:_______________________________________ State:___________________ Zipcode:___________ Phone Number:______________________________ Payment Type:____Check ____Credit Card ____Money Order Credit Card Number:__________________________ Expiration Date:______________________________ Product Ordered: WebPosition Professional Total Price With Tax: $295.74 I authorize Internet Connection USA to bill my credit card or accept my other payment method to purchase this product. Signature:___________________________________ Date:________________________________________ ICUSA
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