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ORDER FORM: Aker Pocket Holster
(Pictured at left: Black Rough Out - Pictured at right: SharkSkin)
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Name: |
| Address: |
| City/State/Zip: |
| Telephone: |
| Holster Type (circle one): Black Rough Out - $44.50 SharkSkin - $111.00 |
| Please circle one: Right Hand Left Hand |
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Credit Card Information: |
| Credit Card Type (circle one): Mastercard Visa Discover AmEx |
| Card Number: Exp Date: |
| CVV Number:* (see below) |
| Signature: |
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*This is the 3 or 4 digit number in the signature panel on the back of your credit card.
Please print, fill out and mail this order form to the address below. Please include your credit card information above, or include your check or money order payable to L.W. Seecamp Co., Inc. Please add $6.00 shipping & handling. L.W. Seecamp Co.,
Inc. FAX ORDERS: Credit card
customers may print this form and fax it to (203) 877-3429 Please email info@seecamp.com for approx. delivery time. CT residents add 6% sales tax. |
