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Dice City This is a form for all customers interested in purchasing apparel by Dice City, below the customer is to fill out the neccesary information so that the their order will be processed in a orderly fashion. The customer is to send this form to Dice city or a Dice City representitive with payment and the customer will receive one half signed by the seller and the customer to have a record of the transaction. Customer name- Seller’s name- Quantity – Description- Date of order- Expected Date of delivery- Customer signature- Seller’s Signature- Confirmation number- Payment by : check , money , cash, (circle one)

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