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		P.I. SPORT N.Y. INC. 4-05 26th Avenue Astoria, N.Y. 11102 Phone: (718) 726-7100 Fax: (718) 726-9852 E-mail: CompleteOutfits@aol .com

BILL TO: Name/Company No. Street, Suite/Bldg. No. City, State, Zip < /P>	SHIP TO:   SAME AS BILL TO Name/Company No. Street, Suite/Bldg. No. City, State, Zip
Tel. No.:  Fax No:	BUYER's INFORMATION NAME :  E-MAIL:
DATE:
SHIPPING VIA: *( We will contact you concerning your shipping charges. )   UPS FEDEX    DHL  Other PAYMENT TERMS:   Credit Card   Cashier Check   Money Order  Wire Transfer
< /TR> < /TBODY> Style # Qty. Size Color Description Unit Cost Total

CREDIT CARD::
Visa  ;   Mastercar d   No Merchandise will be accepted for return without consent of manufacturer. Any order completed 10 days after specified date of delivery shall constitute good delivery. No order will be considered cancelled after maturity date unless written notice is received.		Total Amount:
		Credit Card Number:
		Credit Card Name Holder:
		Credit Card Expiration Date:
		Security Code:	( Where is the CVM Code?? ) < /FONT>
Once Printed Fax To: (718) 726- 9852		___________________ ____________ Signature   ;    &n bsp;     ;    &n bsp;