CREDIT CARD NUMBER
| QTY |
CLASS |
DESCRIPTION |
PRICE |
AMOUNT |
| |
|
Mayday! Mayday! Mayday! |
$24.95 |
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
SUB TOT |
|
  | TAX |
|
| TOTAL |
|
GOOD THRU
WORD PROFESSIONALS
700 047 726
ANNAPOLIS MD
X
The issuer of the card identified on this item is authorized to pay the amount shown as TOTAL upon proper presentation. I promise to pay such TOTAL (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. CUSTOMER: PRINT AND RETAIN THIS COPY FOR YOUR RECORDS