Please print this page out. Mail it to us. Chihuahuabreedersclub.com P O Box 225 Aurora Mo 65605
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	INFORMATION FOR YOUR AD
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	Payment Information: Credit Card Number: __________________________ Expiration Date:__________________ Name: Personal Check: Please make check payable to Cindy Miller - Only for previous customers. First time customers please send a money order or cashiers check. Money Order/Cashiers Check: Please make money order payable to Cindy Miller