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10 method of payment method of payment – Kidco BR200-User Guide User Manual

Page 10

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10

Method of Payment

METHOD OF PAYMENT

Please do not send cash.

Check/Money Order enclosed (Payable to: KidCo, Inc.)

VISA (13 or 16 digits)

Mastercard (16 Digits)

Mo.

Yr.

Credit card account number

Expiration date (required)

Signature of cardholder

Date

Please print name of cardholder

Name

Day time phone no.

Street address

Unit

City

State

Zip

Order amount

$

Shipping & handling

$

Total

$

1013 Technology Way
Libertyville, IL 60048-5349

SHIPPING AND HANDLING CHARGES $8.00

8.00