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Cruise Kids
P.O. Box 84
Hillsdale, NY 12529
Phone: (518)-325-4980
Fax: (518)-325-4980

E-Mail Us: cruisekids@taconic.net
Name:_________________________________
Address:_______________________________
________________________Zip:__________
Phone:_________________________________
E-Mail:________________________________
Credit Card: VISA MC Exp Date:_______
Card #:________________________________
Cardholder Signature:_____________________
****CONTEST INFORMATION****
NAME:_______________AGE:_____
ADDR:________________________
_____________________________
PHONE:_______________________
NY RESIDENTS ADD 8% SALES TAX
PLEASE MAKE CHECK PAYABLE IN US FUNDS
SHIPPING $1.00 to $50.00 add $4.50
$51.00 to $100.00 add $6.50
$101.00 to $150.00 add $9.00
Over $150.00 add $12.00
MCHDSE TOTAL________________
SALES TAX____________________
SHIPPING_____________________
TOTAL________________________
Thank You!!