YOU MAY PRINT OUT THIS ORDER FORM AND RETURN WITH EITHER CHECK OR CREDIT CARD INFO FOR $26.70

PLEASE MAIL TO THE ADDRESS AT THE BOTTOM OF THIS FORM.

ALTERNATELY, YOU MAY ORDER DIRECTLY ON LINE VIA OUR SECURE SERVER.

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IF ORDERING WITH CREDIT CARD:

CREDIT CARD TYPE	[ ] MASTERCARD [ ] VISA
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EXPIRATION DATE:	__/__

PLEASE RETURN TO:

BARRY C. PICKER, CPA

1908 AVENUE O

BROOKLYN, NY 11230