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The Jerry Rice Virtual Card Shop

Order toll free (in US) 1.888.554.4321 (9 AM - 9 PM PST)
Directions

1.  Print this form by selecting "Print Frame" (under the "File" menu).
2.  Fill in all ordering information.
4.  Be sure include all billing and shipping information 
    (email address is important!).
5.  Fax to 415.487.9702 or mail to
    The Jerry Rice Virtual Card Shop
	P.O. Box 420794, Tallahassee FL, 32311, USA. 


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Qty  Description      Grading   Protector  Stand  Unit Price   Total

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

___  _______________  _______   _________  _____  __________   _________

Sub Total for Items Ordered                                    _________

Florida Residents Add 7.0% Sales Tax                        _________

Shipping and Handling (see below for rates)                    _________

Grand Total                                                    _________
  
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   Shipping Rates:        Domestic            International
             1 Item         $5.25                 $15.25
           2-5 items        $8.50                 $24.75
            >5 items       $11.50                 $31.50
	
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Email:          _________________________

Day Phone:      _________________________

Evening Phone:  _________________________

Billing Address:

Please fill in all of the blanks.

Name:      __________________________________________

Address:   __________________________________________

           __________________________________________

City:      __________________________________________

State:     __________________________________________

Country:   _______________________    Zip:  _________


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Shipping Address:

_____  Same as above

Name:      __________________________________________

Address:   __________________________________________

           __________________________________________

City:      __________________________________________

State:     __________________________________________

Country:   _______________________    Zip:  _________

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Following are the payment methods we accept. Please check the one 
that you will be using:

_____  Check (US only)

_____  Money order (in US dollars)

_____  VISA

_____  Mastercard   

Credit Card Account #:  _____________________   Expires:  _______

Cardholder's signature  _____________________

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We will respond to your order within 24 hours.

Shipping:
We ship via UPS only. Please allow 3-6 weeks delivery time. 

Return Policy:
If you are dissatisfied with any item you order, please send it back 
to us. We will credit you towards your next purchase.