| Model | Color | Price |
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| Your Full Name: Street Address: City / State / Zip: | _____________________________ _____________________________ _____________________________ |
| Please make payment to "Digital Traffic Net". We accept both personal checks and money orders. Personal checks can take slightly longer since we do not ship merchandise before the payment has cleared. Please do not send cash. | |
| Please send this completed form with your payment to: | Digital Traffic Net 3807-GH South Peoria #291 Tulsa, Oklahoma 74105 |