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1. (street address Costa Rica) ____________________________
2. Name to accept mail in: _____________________
3. Code word or Number for future instructions ______________________________________
4. Name to forward mail to you: (Please note. One personal name & one Company name is acceptable in most cases. See each country as we may be able to arrange mail in unlimited names). _________________________________________________________________
5. Address: _________________________________
6. City & Postal Code: ________________________
7. Country: _________________________________
8. Special Instructions: ___________________________________________ ___________________________________________
9. Payment Method by Credit Card - CLICK HERE to download our credit card authorization form for you to fill out and email back to us.
We also accept payment by Western Union, MoneyGram, Liberty Reserve and Pecunix and of course via a bank wire transfer.
Please INCLUDE your e-mail address in case we need to contact you regarding this order. Thank you ______________________________________________________
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