Byron's Gift Center

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Please Print: Name:________________________________________ Address:_____________________________________ City:________________________________________ State________________ Zip:___________________ Phone Number (______)________________________ Item # Qty# Description.................................................... Price Total Amount         $                                                                                                     Merchandise Total  $ CA Residents add tax  + Standard shipping and handling: (15%)  + Total Amount Enclosed:  $ Enclosed is the full amount of my order: $_____________ Paid by (check one): Personal Check Money Order Certified Check Visa M/C A.Express Credit Card# Expiration Date: Signature: Checks payable to: Byron's Gift Center P.O. Box 232 San Bruno Ca 94066