DUNE TEMPORARY TATTOOS  -  www.customtattoos.net

1770 Farrell Ave., Clearwater, FL 33756       Ph: 1-727-518-0615  Toll Free: 1-877-679-9948  Fax:  1-727-559-0327

Name & Shipping Address:                                                Credit Card Name & Address If Different:

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Telephone/Email: __________________________________________________

Credit Card #  ______________________________  Exp. Date:  ________  Security # ________

Please list product# and amount (e.g.  D511x6, BC547x10, etc.)  Shipping is 3-Day Priority or Overnight if requested.  $125 Minimum order.  Use an additional page if necessary.  Please Fax large order.

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