Tripps Order Form

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By filling in the 1-2-3 below

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Tripp's Inc.
(P.O. Box 1369
Socorro, New Mexico 87801
1-800-545-7962)

1- Sold To: Remember your satisfaction is Guaranteed!

First Name:

Last Name:

Title:

Company:

Credit Card Billing Address(*):

City:

State/Province:

Postal/Zip Code:

Country:

E-mail:

Daytime Phone#:(**)

Fax Number:

(*) - P.O. Box addresses ship via US Post Office, Street addresses ship via UPS.
(**) - Please include your phone number with all orders.

2- Charge to Card (check one):

Visa
MasterCard
Amex
Discover Card Number:
Expiration Date:

3- Rush me my: (check each item you need to order):

Kit (Includes everything you need to create jewelry!) $59.95

Video (VHS) (Including Shipping) $25.00

Video (DVD) (Including Shipping) $25.00

Catalog (FREE with any other item) $8.00

Jewelry & Gems Guide ($12.70 + $4.00 shipping) $16.70

Total: $

Your Comments:

1- Sold To:	Remember your satisfaction is Guaranteed!
First Name:
Last Name:
Title:
Company:
Credit Card Billing Address(*):
City:
State/Province:
Postal/Zip Code:
Country:
E-mail:
Daytime Phone#:(**)
Fax Number:

2- Charge to Card (check one):
Visa MasterCard Amex Discover	Card Number:	Expiration Date:

3- Rush me my: (check each item you need to order):
	Kit (Includes everything you need to create jewelry!)	$59.95
	Video (VHS) (Including Shipping)	$25.00
	Video (DVD) (Including Shipping)	$25.00
	Catalog (FREE with any other item)	$8.00
	Jewelry & Gems Guide ($12.70 + $4.00 shipping)	$16.70
Total:		$