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ORDER 5269 US Highway 158 Advance NC 27006 PO Box 1795 Clemmons NC 27012-1795 Phone 336 768-2544 Fax 336 768-2355 Email info beaufurn.com Web Site www. Beaufurn.com CREDIT CARD AUTHORIZATION FORM D e p o s i t / B A L A N C E D U E P R I O R T O SHIPMENT THIS CARDHOLDER MUST SIGN BOTH THIS FORM AND THE ORDER ACKNOWLEDGEMENT AND RETURN THEM TO BEAUFURN. Card Holder Name Card Holder Street Address or Post Office Box Card Holder City State Zip Code Card Type Visa Mastercard NO OTHER CARDS...

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