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
Name: Phone Number:
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Address:
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City, State, Zip, Country
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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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(Exactly as it appears on the Card):
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Card Number: __________________________________________________
Card Expiration Date: ______________________________________________
Authorized Signature: ______________________________________________
Thank you for your Order!
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