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Freestyle
Attn: Individual Returns
5855 Olivas Park Drive
Ventura, CA 93003
PRICE TOTAL
Battery $ 4.00
Case or Crystal 10.00
Bezel 6.00
Band(Leather) 10.00
Band(Nylon) 6.00
Band(Metal) 15.00
Band(Polyurethane or
Neoprene) 10.00
California residents
add 7.25% sales tax
Processing and handling 8.00
Total $_____
Check or money order
Master Card
Visa
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Account # Expiration Date
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Printed Name
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Address
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Phone Number Email Address
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Signature (required for credit purchases)
789004-1-2 rev. 3/02