Constitution Day, Inc. Secure Order Form
We believe that privacy is an inherent American personal right.
We have no right nor will we sell personal information to "AnyOne"!!!
Full Encryption.  All prices are Plus Shipping
This is a Secure Section...ALL PRICES ARE BASED ON AMERICAN DOLLARS.
To Order by check,  money order, phone  Click Here
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Shipping Address City
State Region Zip
Country Home Phone
Resale Number Work Phone

Note: If your Shipping  Address is different then the Billing Address, for
your credit card, you must type your Billing Address below along with any
special instructions in order to avoid any delays in your order.
E-mail
This Order Is Being Shipped To
Company Name If Applicable
Your URL If You Would like To Share
Credit Card
Expiration Date
Card Number
The Account Number You Pick Must Be At Least Six Digits Or Greater.
Pick An Account #
and enter it below		 Pick A Secret Word
and enter it below
Account # Secret Word
Please record your account number and secret word for future use.
Product Id
Quantity
$
Unit Price
Totals
Weight
$
$
$
$
$
$
$
$
$
$
$
Your Order . TOTAL Weight
Ca. Add Tax .  .0825% )-: Is Not
Ca. Grand .  Total Required
NOTE:  If You Are Not A California Resident You Will Not Charged California Sales Tax.

We would be grateful if you would let us know how you found us.
To Continue Or Submit Order Click Below
©Constitution Day, Inc.
If You Wish To Pay By Check or Money Order
Print Two Copies of this Form and Send a copy with a Check or Money Order.
Make all checks or money orders payable to: Constitution Day, Inc.
PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS, Thank you
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© Constitution Day, Inc.
Copyright  1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006
A NON PARTISAN NON PROFIT ORGANIZATION
All Rights Reserved