ORDER FORM
JAMES RAINHO PRODUCTS - SIMPLEX MAGIC
14 Windsor Rd. - Medford, MA 02155 - USA
Phone:(781)391-6800 - Fax:(781)391-2282 - Email: magicjim@rainho.com

Today's Date:
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Payment Method: - By Check- by Money Order- by Bank Draft- by Credit Card
Credit Card Information (if paying by this method): Card Type: Master Card - Visa
Name on Card:
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EZ WAY TO ORDER - GO BACK TO LAST PAGE YOU WERE ON AND FOLLOW OPEN IN NEW WINDOW INSTRUCTIONS AT THE ORDER FORM LOCATION.

Write in your order in large box below with quantity., items and prices. Hit RETURN for each additional line.

ITEMS WANTED

Make list of all items wanted & see shipping & insurance fees before filling form.

Type in each item wanted. EXAMPLE: Quantity - Item Name - Price each - Quantity Total 3 - Decks of Cards - 3.00 - 9.00 1 - Acid Madness - 60.00 - 60.00

.....Qt. - Item Name - Price Ea - Qunatity Total

Items Total Cost:
For residents of Massachusetts only - Mass. Tax - 5%:
Shipping and Handling Fees (See below.):
Insurance Fee: MANDATORY (See below-. ):
GRAND TOTAL DUE:

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