International Order Form

Transparent:
RED:	[Not Selected] $14.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets Compare to $19.99!
BLUE:	[Not Selected] $19.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets
YELLOW:	[Not Selected] $14.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets Compare to $19.99!
GREEN:	[Not Selected] $19.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets
WHITE/RED	[Not Selected] $19.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets (Backorder)
Non Transparent:
BLACK/RED	[Not Selected] $14.99 - 1 Set 2 Sets 3 Sets 4 Sets 5 Sets 6 Sets 7 Sets 8 Sets 9 Sets Compare to $19.99!
Free Gift:	FREE Perestroika Russian Computer Game for Windows 95/98 if you order 2 or more sets! or add just $5.00 to receive this game!
Shipping/Handling:	$7.95 - by Regular Mail $26.95 - International Priority Mail (out of the continental U.S. including CANADA, for U.S. orders by check, click here)
Souvenir Discount:	$ Coupon #
$	(order online (VISA/MC/AE) for US orders!)
press button to calculate!
My Name:	Mr. Mrs. Ms.
Address1:
Address2:
City:
State:
ZIP:
Country:
My Phone:
My E-mail:
Payment	International Money Order American Express Card Sorry, no VISA or MC!
AmEx Card:	(additional 6% surcharge will apply)
Expiration:	(mm/yy)
Cardholder:
Signature (required if sent by fax):	_______________________________ By signing this form I authorize Web Ideas International to charge my American Express account

(please cut here)
Please fill out the form and print this page using File | Print... menu command or the Print button on the toolbar. For your convenience, you may want to cut this address and stick it on your envelope. For immediate response, you may want to fax this page with your credit card information to +1.801.459.8096 or call us at the same number. Thanks for your order!

Web Ideas International Sticker Offer
PMB 13200 Summit Square Center,
Rt.413 & Doublewoods Road,
Langhorne, PA 19047

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