REGULAR PAYMENTS

Regular Payments To: Silesia Group Inc.
PRINT THIS PAGE AND SEND PAYMENTS WITH THIS FORM TO
SILESIA GROUP INC. / Michael Dawson , P.O. BOX 248, PORT RICHEY, FL 34673, USA CONTACT
ITEM OR SERVICE DESRIPTION
PRICE
QUANTITY
TOTAL
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TOTAL . . .
SHIPPING AND HANDLING
http://biznet1.com/shipping/
We do not ship without shipping fees
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GRAND TOTAL . . .
BUYERS NAME __________________________________ ADDRESS:________________________________________
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SHIPPING ADDRESS: _____________________________ ________________________________________________
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ADDITIONAL COMMENTS & INSTRUCTIONS:
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ALL ORDERS ARE SHIPPED AFTER ALL FUNDS WILL BE CLEARED AT OUR FINANCIAL INSTITUTION. SOME ORDERS ARE NOT REFUNDABLE.
ALL SHIPPING FOR OTHER COUNTRIES THEN USA NEEDS TO ADD ADDITIONAL SHIPPING FEE.
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Copyright Silesia Group Inc