ORDER FORM
	World Class Cycles LLC                 Commack, New York 11725
	631 543-1835            order@worldclasscycles.com            fax: 631 543-1836
	DATE	SHIP VIA		INSTRUCTIONS		CREDIT CARD No. & EXPIRATION DATE
				SECURITY CODE (LOCATED ON REAR OF CARD)
	SOLD TO: (credit card billing address)					SHIP TO:	EXPIRES
	APT.#
	TELEPHONE:
	E MAIL ADDRESS:
	AMOUNT	DESCRIPTION					EACH	TOTAL	TOTAL
	*NYS residents please add applicable sales tax					SUB TOTAL
	PLEASE DO NOT e MAIL CREDIT CARD					TAX*
	INFORMATION, EITHER					TOTAL
	DOWN LOAD ORDER FORM & FAX IT					SHIPPING
	TO US OR CALL IN YOUR ORDER				TOTAL  WITH SHIPPING
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