Play Safe Thong order form
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| Name: |
| Company/Organization: |
| Address: |
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| Phone: |
| Email Address: |
| Fax Number: |
Quantity desired:
Enclosed is my payment in full : _____ thongs @ $10 each = $ _____
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Mail form with
payment to:
AIDS Resource
520 W. 4th Street
Suite 2A
Williamsport, PA 17701
Phone: (570) 322-8448
Fax: (570) 322-8648
Email: aidsr@epix.net |
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