ORDERING
INFORMATION:
Name:
Phone:
E-mail Address:
SHIPPING INFORMATION:
Address:
Apt/Suite:
City:
State:
Zip:
Country:
PLEASE
SUBMIT THIS FORM WITH PAYMENT TO:
CURSE ICON
8303 High Ridge Dr.
Powell, OH 43065
PLEASE
ADD $2.50 SHIIPING AND HANDLING INSIDE THE U.S.
$5 OUTSIDE THE CONTINENTAL U.S.
$5 OUTSIDE THE CONTINENTAL U.S.
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TOTAL |
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SHIPPING AND HANDLING: |
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TOTAL: |
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IMPORTANT
INFORMATION Payable in U.S. Dollars ONLY. We accept Money order or Cashier Check ONLY for mail orders. Make payable to “Curse Icon”. No personal checks will be accepted. Please send Cashier Check or money order and this form to: CURSE ICON - 8303 High Ridge Dr. • Powell, OH 43065 |