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Phone: 1-800-628-1804 Fax: 727-442-5130 info@postcardmania.com www.postcardmania.com Page 1 of 1 Card Holder Name *Standard Turn-Around Time: 2 weeks from signed proof. Working with a tight deadline? Speak to a representative. Expiration Date Signature Address If there is additional information you need us to have, please type it up and fax or email it to us so that there is not a confusion later on. We will attach it to your order. Country US Email payment info to 727-442-5130 City State Zip To Order by fax, please send your BillMeLater Business (Based on Credit Approval) Call Your Rep For Details. *Ensure that you read the terms and conditions of sale on page 2 of this form. Payment Method Signature Credit Card Number Company credit only. Visa MC Amex Disc Din Check # I have read and agree to all terms and conditions of sale of PostcardMania as presented here and in the Terms and Conditions of Sale Agreement. No Refunds. Addressing 23000 $0.05 $1,150.00 NCOA 1 $50.00 $50.00 DM 2.0 23000 $0.06 $1,380.00 Full Design 1 $199.00 $199.00 6 x 11 Postcards: 4/4 14 pt coated one side w/UV 23000 $0.152 $3,496.00 Color Both Sides Included $0.00 $0.00 Sales Tax $0.00 Total $5,819.00 Discounts ($456.00) Subtotal $6,275.00 Product Quantity Price Per Price DirectMail2.0: After 3 months you will be charged $9.98 per month for each active Call Tracking number and $150 per month for Remarketing. Cancel anytime NCOA: (National Change of Address) A US Postal Service system that validates and updates mailing lists to keep postage costs down. Postage is invoiced and paid separately at time of mailing. Standard Letter Rate/Larger Postcards will range b/w 26.1 - 30.1 per piece. Delivery is 7-14 days (may take longer) and undeliverable mail will not be returned to you. Offer expires 03/28/2014 4/4: Color both sides Comments Phone 559-477-5192 Fax Phone Fax Email tjfaridi@ymail.com Email Billing Information Shipping Information PostcardMania Order Form Raj Oakley Sales Rep: Order Name Chiropractors_Marketing with D Date: 03/25/2014 INTERNAL USE ONLY Address 12150 Industry Blvd, Suite 45 Address City Jackson State CA Zip 95642 City State Zip Company Name Complete Brain Care Systems Corporation Company Name Name Tariq Faridi Name