When using this fax form you do not have to use our regular fill-in form.
This page can be used by itself or as page 1.
Use this page for additional pages as needed.
Use this page to calculate your discounted payment.
Upon completion, fax your pages to 1-517-629-9793.
To complete the transaction, go to our special PayPal page, and follow the instructions there. This is a secure server.
We will receive that information and process your order, sending you an email message when complete and online. You will have an email receipt from PayPal of the financial transaction.
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