CigarettesOnly.com |
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FAX/MAIL- IN ORDER FORM
Checks/ Postal Money
Orders payable to:
FIND CIGS
P.O. BOX X
RUSSELL, KY 41169
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Billing Address/Shipping
Address(No FPOs and APOs) | ||
| Name : | ||
| Address : | ||
| City : | St : | Zip : |
| Telephone : | ||
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Payment Method : ECheck |
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ABA Routing #
A/C # Bank Name & |
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Check #
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Automatic Shipment
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| Check here for automatic shipment every days. You must pay by Electronic Check to qualify. |
| BRAND | DESCRIPTION | QTY | PRICE EACH | TOTAL |
| Example: Marlboro |
Ultra Light Soft Pack
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5 |
$26.95 |
$134.75 |
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SHIPPING: 1 - 4 Cartons$5.00 Total 5 or more FREE |
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TOTAL :
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 I certify that I am over the age of 21 by signing above |
Date of Birth |
Thank you for your order! We appreciate your business! |