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SHIP TO:
Name
Address
City, State, Zip Code
Telephone (including Area Code)
Check or money order enclosed (payable to Century Products)
Charge to credit card
Visa MasterCard Discover
Account #
Expiration date
Signature
Subtotal:
Shipping
&handling*: $5.00 Sales tax**:
Total:
*$15.00 outside the continental U.S.
**CA 7.25%, IL 6.25%, IN 5%, NY 8.25%, OH 5.75%, PA 6%, SC 5%
MAIL ORDER TO:
CENTURY PRODUCTS
150 Oaklands Blvd.
Exton, PA 19341
ATTENTION: CUSTOMER SERVICE
DEPARTMENT
OR
FAX ORDER TO: (610)884-8370
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