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MasterCard, American Express and Visa Cards Honored


    Sales Draft
  5481440010826907
     5046222147
     L L A P A
     Box 8005
Emeryville, CA 94662


CARD-
HOLDER
NAME__________________________________

CARD # __.__.___.__|__.__.__.__|__.__.__.__|__.__.__.__|

EXPIRES ___/___

SIGNED X______________________________________________
         I agree to pay total amount on Order Form
             according to Card Issuer Agreement
Your Handwritten Signature

SNAIL MAIL ONLY TO:
L L A P A
P.O.Box 8005-W
Emeryville, CA 94662

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