Click Here if You Need Instructions
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[CRYSTAL STIX]---------[PO BOX 471, Moffat, CO 81143]---------[1-800-GET-STIX]--
------------------------------------------------------------FAX [1-719-256-4949]--
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US Postal Ship To Address: | NOTES:
| _______________________________________
Name__________________________________ | _______________________________________
Address_______________________________ | _______________________________________
______________________________________ | _______________________________________
Phone_________________________________ | _______________________________________
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--[Item Number]--|----[Specify 2-3 COLOR Preferences]----|--[QUANITY]--|--[COST]--
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S&H = Shipping & Handling
-----------------------------------------------------------[Sub-Total:_$__________
-[Shipping via US Postal Service Priority----]
-[S & H: Bag, Strap or Video Only - $5]__________-[Ignore if Ordering Stix]
-[S & H: Each Extra Bag - $1]__________
-[S & H: Each Extra Strap - $1]__________
-[S & H: Each Extra Hand Stix - $1]__________
-[S & H: Each Extra Video - $1]__________
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-[S & H: First Set Stix - $7]__________
-[S & H: Each Extra Set - $2]__________
-[Overseas Shipping Costs - Please Contact Us].
--------------------------------------------------------[Ship. & Hand:_$__________
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-------------------------------------------------------[Total Payment:_$__________
Send Check or Money Order, or
VISA or MASTER CARD Number:_______________________________________
with Expiration Date:_____________________________________________
Name as it appears on the CARD:___________________________________
(If different from the Ship To Name)
THANK YOU!