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FOR SINGLES, PRINT & MAIL or FAX FORM TO:

515 S. Tanner St., Rantoul, IL 61866 1-800-CROWN-IT (276-9648) • Fax: 888-704-4687 E-mail: sales@crownadv.com

$4 Each	3 for $9.99	6 for $18	Each Add'l $3
All Prices U.S. Dollar

Mailed First Class U.S. Mail

COLOR Black  Lime  Green  Blue  Orange  Pink  Purple   Red   Yellow Natural TOTAL QUANTITY   + + + + + + + + =
Singles Imprint	Check or Money Order Amount $___________________   Credit Card # ___________________________________   Expiration Date______/______   V-Code:________ (Last 3 or 4 digit number located on the back of your card on the signature panel.)   Check Type of Card:   ______American Express   ______ VISA   ______Discover  ______Master Card   Authorized Signature_____________________________