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Name       As it appears on credit card

Enter all the item numbers here (One item # per box, use back of form for more)
Enter the price of articles you are ordering next to item # (example)
            
            
Total price of item(s)
Add 5% sales tax (only in Maryland)
Call for shipping cost 1-800-369-4779
Enter Total Cost

Enter the billing address for your credit card here
Address 
City         State
Zip code 
Enter the phone number at the billing address
       here 

                Credit card #    No American Express
                Expiration date
Security code(found on signature strip on back of card after last 4 digits of card number)
         Bank's customer service #(found on back of card)


_________________________________________________                __________________
                 Credit Card Authorization (sign here)                                                 Date

Mail payment and form to:
A.I.Inc., 4410 W Frankfort Dr
Rockville, Maryland (MD)
20853

All sales are final, any product found to be defective will be repaired or replaced.
Not all items can be shipped overnight or 2nd day. We will call you on items that fall under this.    
Click here to read our Return Policy All applicable taxes, import fees and duty charges are the sole responsibility of the buyer.