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Detailed information Packet.

 

Information Order form.

 

Cut and paste on a notepad to modify, then

print order form and Mail In to:

 

Charles Dike Maduka

516 s. main st.

Los angeles Ca, 90013

Charlesdikemaduka.batcave.com

EMail:charlesdikemaduka@37.com

 

SEND:  Self addressed stamped envelope &

 

$5.00| Shipping and Handling

 

Check  ( ) Money Order  ( ) Visa

( )Master Card 

( )Amer/Express  ( ) Discover

 

 

 

NAME:__________________________

 

ADDRESS:_ ________________________

 

CITY:________ STATE:_ ZIP:_________

 

CARD name_________________________________

 

CARD #:________________________

EXP. DATE:____

 

    Tel:__________________________________

 

eMail:________________________________

 

SIGNATURE:________________________

 

 

 

Charles Dike Maduka

.