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ARMCHAIR for Little People Adaptive Living: Phone: 9548710119 Fax: 2392449033 Website: www.adaptiveliving.com Email: Sales adaptiveliving.com PO Box 970125, Coconut Creek, FL 33097 NAME:TODAYS DATE:SHIPPING
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Read the instructions provided at the beginning of the form to understand the required information.
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Start with entering your personal details such as name, address, and contact information.
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If applicable, specify the quantity, size, color, or any other relevant details of the product.
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