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Item	Unit Price	Quantity	Subtotal
Micro Menu with JavaScript	$19.00	1	$19.00
Coupon Code:
Current Total (USD): $19.00

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Full Name *

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Address 1 *

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Address 2

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Phone

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Please enter your phone number. (Example: 614-620-6266)

Phone Extension

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Please include only numbers and optional spaces and dashes for your extension. Extension can only be 16 digits long.

Email Address *

We use your email address to send you an order receipt and to contact you if there is a problem with your order. We will never send you unsolicited emails.

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Upon completion of your purchase, a receipt will be sent to this e-mail address.

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You will be redirected to PayPal to make your payment. After completing your payment, you will be forwarded back to our website to view or print your receipt.

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