Fax/Mail Urgent: A.C.E.S., INC. ORDER FORM      Date:_____________

To: A.C.E.S., Inc.*3700 NW 124th Avenue*Suite 132*Coral Springs, FL 33065*USA
Fax: 954-346-8000 Phone: 954-755-9550 Mobile: 954-383-5124

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PRODUCTS:(all prices listed in US Funds) - Please circle product or bundle.

Shipping Type:(Circle One) -- International customers are responsible for any custom/duty charges.

UPS Ground within USA $      US Post Office Priority Mail: $ (in US)    

International Shipping: $      International UPS: $

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Card Expiration Date:  ______________________________________________

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Thank you for your Order!