We take an enormous pride in creating our products, and hope that you'll find something in our store that you like. We also can create custom order. TO ORDER BY PHONE, FAX OR EMAIL GO COPY AND PRINT OUR CREDIT CARD ORDERING FORM. Phone: 937-548-6430, M-F, 9-5, CST or FAX: 937-548-6429 Email: jnjindustries@aol.com Name:___________________________________________________________ Street Address:___________________________________________________ City/State/Province:_______________________________________________ Zip/Postal Code:___________________________Country:________________ Phone No:___________________________________________________ Email Address:________________________________________________ Item Name:_________________________________________________ Item Number:_______________________________________________ Sub total $:______________ Shipping $:______________ Total $:______________ Billing Information - Please enter the following information exactly as it appears on the customer's credit card statement. [ ] Visa [ ] Mastercard [ ] American Express [ ] Discover Card Number:____________________________________ Name on card:___________________________________ Expiration Date:___/___ (MO/YR) Card Security Code: _ _ _ (The back of your card, locate the final 3 digit number) Signature:______________________________________ Date:____________________

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