PopOrder © SLP Product Ad Order Form
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 SLP Product Ad - 365 day SLP Product Advertisement 275.00
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  Total: $
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First Name: Last Name:
CO. Name: Customer Type: Individual Business
Address:
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Country: Zip/Post Code:
Telephone: Fax:
E-mail:
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  If by check, please send the total amount to:
Selectcommunities.com, Inc
P.O. Box 880053, Boca Raton, Florida 33488-0053
Office: 561 998 9501- Fax: 270-812-1305
 Checks should be made payable to Selectcommunities.com, Inc..
Thank You For Your Order!