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Thank you for your
order.
Your web confirmation number is 57567. |
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| Billing Address |
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| First Name: |
Robert |
| Last
Name: |
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| Company: |
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| Address: |
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| City: |
where-I-live |
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| CA
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| Zip
Code: |
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| Country: |
United States |
| Phone: |
my-Oakland-voicemail-number |
| E-Mail: |
http://dummy.us.eu.org/robert
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| Shipping Address |
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| Same as Bill To
Address |
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| Item |
Qty |
Description |
Discount |
Total |
| SRNG0103F |
1 |
SLEEP
RIGHT NIGHT GUARD |
--
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$69.95 |
| Subtotal: |
$69.95 |
| (National,State and Local
taxes) Tax: |
$0.00 |
Shipping:
(Via: UPS) |
$9.75 |
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| TOTAL: |
$79.70
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If you would like to register
with us, please enter a password and click the
'Register' button.
By registering, you will be able
to check on your order status on-line.
If you do not
wish to register, click on the 'Complete Order'
button. |
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Password
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Re-Enter
Password |
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