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Canadian & International Buyers - Request for Invoice

Please fill out the form below including your desired method of payment.  As soon as I've received your request and have determined the cheapest shipping cost (Global Priority or Insured Air Mail Parcel Post) to your country, an emailed invoice will be sent to you for payment. 
Required fields are marked with a (*).
Title:

First Name*:

Last Name*:

Address 1*:

Address 2:

City*:

State/Province*:

Country*:

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Phone*:

Email*:

Item*:

Payment*:
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