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$18
$15
Name (first) (last) Mailing Address City State Zipcode Phone E-mail Credit card type Visa Mastercard Name as it appears on credit card Credit card number Expiration date PLEASE MAKE SURE ALL FIELDS ABOVE ARE COMPLETED. Or to order by mail, send a check or money order payable to DANIEL HO CREATIONS along with a completed printout of the above forms (without credit card information) to: DANIEL HO CREATIONS 914 Westwood Boulevard #813 Los Angeles, CA 90024
PLEASE MAKE SURE ALL FIELDS ABOVE ARE COMPLETED. Or to order by mail, send a check or money order payable to DANIEL HO CREATIONS along with a completed printout of the above forms (without credit card information) to: