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*FIRST and LAST Name:	Mrs. Mr. Ms. Miss. Dr.
*E-mail:	Must be a working e-mail address.
*E-mail Verify:	Please type the same e-mail address again to verify typos.
*BILLING Address Line 1:
Address Line 2:	Suite, Floor, Mail Stop... etc.
*City:	- *State: - *ZIP Code:
Country:	If Not USA. International orders are welcome, but please read this page first.
*Day Time Phone:	Home Work
*Alternate Phone:	(Ideally a phone number where I can reach you after hours, or on a weekend if I need to, as I sometimes cut puzzles at night, and on an occasional weekend.) Home Work Cell
*Ship To:	The above billing address is also my shipping address.  My shipping address is Different than my Billing Address. Please ship my order to the address I have stated in the "COMMENTS" area at the end of this order page.
*Your Shipment Tracking Number:	YES! - Please e-mail the tracking number to my e-mail address above.  No thank you, I do not need the tracking number.

Click on the above picture to see a larger image! This square table is resting on it's lazy suzan base, on a livingroom coffee table.	24" Square puzzle table top ZERO 24 Inch Price: $0.00 ONE 24 Inch Tables - Price: $395.00
Click on the above picture to see a larger image! This Octagonal puzzle table is resting on it's lazy suzan base,on a livingroom coffee table.	"Octagonal 31 inch" Revolving (Lazy Suzan) puzzle table top ZERO 31 Inch Tables - Price: $0.00 ONE 31 Inch Table - Price: $445.00
Click on the above picture to see a larger image! This Octagonal puzzle table is resting on it's lazy suzan base,on a livingroom coffee table.	"Octagonal 37 inch" Revolving (Lazy Suzan) puzzle table top ZERO 37 Inch Tables - Price: $0.00 ONE 37 Inch Table - Price: $495.00
Click on the above picture to see a larger image! This Octagonal puzzle table is resting on it's lazy suzan base,on a livingroom coffee table.	"Octagonal 48 inch" Revolving (Lazy Suzan) puzzle table top This Size Table is for in person PICK UP ONLY... We will NOT SHIP this size table, as it is too large. ZERO 48 Inch Tables - Price: $0.00 ONE 48 Inch Table - Price: $565.00

*Form of Payment:	Visa MasterCard Check / Money Order - To be received before your jigsaw puzzle is made and shipped. Select One
Credit Card Number: NOTE: This order form is SECURE	Example: 4321 - 4567 - 9876 - 6789 - Please use a DASH between Credit Card Number Groupings.
VERIFY Credit Card Number:	Example: 4321 - 4567 - 9876 - 6789
V - Code / Security Code: Without this number, we can not process your order.	This is the 3 digit number located on the back of your Visa / Master Card card, near or on the signature strip.
Card Expiration Date:	- Month / Year
Your name exactly as stated on your credit card:
*Credit Card Billing Address Line 1:
Credit Card Address Line 2:	Suite, Apt #, Floor, Mail Stop... etc.
*City:	- *State: - *ZIP Code:

*Additional Comments: PLEASE use the return key when your typing reaches the right side of the box. Thank you. Mark,   Press the button once. Allow 5 seconds for your order to transmit. You will be sent an order confirmation via e-mail within 24 business hours.   .