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Kindly enclose your check or money order
payable to: "Tribute
Marketing"
. Then please
Mail form to:
Tribute Mktg. Attn: Lauren Cote, Box 593,
Wakefield, RI 02880 USA
| Name |
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| Shipping Address |
|
| City, State, Zip |
|
| Telephone |
(If we have a question.)
Fax: |
| E-Mail |
(To send an order confirmation.) |
Your Privacy is assured. No third party will be given
access to this information by Tribute Mktg. Credit card information is
not retained by Tribute Marketing.
| Payment by: (circle) |
Personal Check # Money
Order Bank Check
Credit Card |
| Credit Card Number
|
__ __ __
__ __ __ __ __ __
__ __ __ __ __ __ __ |
| Name as appears on
card |
|
| Expiration date |
Authorized Signature X |
| 3 or 4 Digit Sec.
Code |
On back of
card find last 3 digits to the right of signature: __ __ __ |
| Billing address for
Card |
|
| City, State, Zip |
|
|
Quantity |
Item |
USD Price |
Total |
|
#W103 PottyMD Wet-Stop3
GREEN
OUT OF STOCK.
AVAILABLE ONLY IN BLUE.
|
$ 64.95
Sale
$ 49.95 |
|
| |
Sensor/Cord only for WetStop3 (alarm not included) |
$ 14.95
Sale
$ 12.00 |
|
| |
Set of Batteries (2-pk) Size: AAA |
$ 2.00 |
|
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US Postal Service
/ Priority Mail + Free Delivery Confirmation
|
$ 5.95 |
5.95 |
| ------- |
Shipments to
Canada via Air Parcel Post, 8-10 business days.
RI deliveries: 6% Sales Tax applies to product price only. |
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TOTAL PAYMENT ENCLOSED
(or to be charged)
|
TOTAL |
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