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Name:
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Instagram name
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Phone
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Email
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Shipping Address 1
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Address 2
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City
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State
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Zip Code
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Country
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Credit Card
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MasterCard
American Express
Visa
Discover
Name on Card
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Credit Card Number
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Credit Card Expiration Date
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Credit Card Security Code
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By submitting this form, you authorize us to charge your card for items commented on plus $5 shipping charge (if applicable). You are not guaranteed the item until you receive confirmation from us. All items are final sale. If you have any questions or need to update your information please email us at kellydquick@gmail.com! If you have read and agree to the terms listed above, please electronically sign below
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