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| Michigan State University |
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1 Chestnut Rd. |
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East Lansing, MI 48825 |
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FAX:
517-353-8121 |
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PHONE:
517-353-4698 |
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| Proshop Order Form |
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| Customer & Billing Information: |
Mailing Address:
if different from Billing Address |
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| Order Information: |
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| PLU # |
Item Description / Size / Color |
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| Payment Information: |
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| Select One: |
Cash |
Check/Money Order
(payable to: Michigan State University) |
Credit Card
VISA or MASTERCARD |
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| Credit Card Info: |
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Visa or Mastercard? circle one |
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Card Number: |
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Name: |
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Please Fax To: 517-353-8121
or Mail To Address At Top of Page
Questions? Call: 517-353-4698 |
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