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If you wish to pay by check or money order please print and complete the form below.

Please complete this form and send it with your nineteen dollar *check or money order to:

American Fab Company, LLC
1847 Chisholm Road
Florence, AL 35630
ATTN: Marketing Program

PLEASE PRINT

Name: _______________________________________________

Address: _____________________________________________

City and State: _________________________________________

Daytime Phone Number: __________________________________

Evening Phone Number: __________________________________

Fax Number (if applicable): ________________________________

Internet Provider: ________________________________________

E-mail address: _________________________________________

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(please check one)

All information given to American Fab Company, LLC is strictly confidential.
It is for American Fab Company, LLC's personal use and will not be given or
sold to any other company or organization.

Your "Starter Kit" will be sent to you within *7 working days of receipt of request. Please do not send cash.

*All checks must be cleared prior to delivery.

Don't wait until tomorrow, when you can do it today...How many times have you said "I wish I'd of done that"... Don't delay on your future.

There is no time like the present... order today and start looking forward to a brighter tomorrow.