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Mail Order Form

If you do not want to place your order online,
please fill out the following form, then click the
"Print Form" button at the bottom of the page.

Please mail your order to:
Amanady Products
2221 Peachtree Rd., NE
Suite D-613
Atlanta, GA  30309

Fax Orders: 425-998-0159

Item Name
 Unit Price
 Quantity

Exended Price

  GA Resident Tax (7%)
Shipping (U.S. ONLY)
Please fill in Total
Bill To:
First Name
Last Name
Address
City
State
Post Code
Phone
Email
Country
Ship To:
Same as Billing Address
Ship to Name  
Address
City
State
Post Code
Country
Order Comments and Special Requests

Signature: __________________________________    Date:__________________

PAYMENT:

If Credit Card is selected please also complete the Credit Card Information.
No personal checks please.  Personal checks will not be accepted or returned.

Make money orders payable to: Amanady Products, Inc.
ALL Payments must be in US Dollars.

Payment Information
Card Name
Card Number
Expiration Date


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