Credit Card Authorization Form

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|1|808080|0|000000|0|0|0|0|3|1|24|C0C0C0|000080| |2|0|0|Feedback ~ |0|16|2|2|0|0|1|000000|FFFFFF|Feedback Form| |1|808080|0|000000|0|0|0|0|3|1|24|C0C0C0|FF0000| |2|0|0|Feedback ~ |0|16|2|2|0|0|1|000000|FFFFFF| | |1|808080|0|000000|0|0|0| |"> <PARAM NAME="10" VALUE="125|29|0|377| |2|12|1|FFFF80|000000|000000|mailto:Hitman@78ta.com| |0|0|3|1|24|C0C0C0|000080| |2|0|0|E-Mail ~ |0|16|2|2|0|0|0|000000|FFFFFF| | |1|808080|0|000000|0|0|0|0|3|1|24|C0C0C0|000080| |2|0|0|E-Mail ~ |0|16|2|2|0|0|1|000000|FFFFFF|E-Mail Hitman@78ta.com| |1|808080|0|000000|0|0|0|0|3|1|24|C0C0C0|FF0000| |2|0|0|E-Mail ~ |0|16|2|2|0|0|1|000000|FFFFFF| | |1|808080|0|000000|0|0|0| |"> <PARAM NAME="11" VALUE="125|29|0|203| |2|12|1|FFFF80|000000|000000|http://www.78ta.com/nats.htm| |0|0|3|1|24|C0C0C0|000080| |2|0|0|Trans Am Nationals ~ |0|14|2|2|0|0|0|000000|FFFFFF| | |1|808080|0|000000|0|0|0|0|3|1|24|C0C0C0|000080| |2|0|0|Trans Am Nationals ~ |0|14|2|2|0|0|1|000000|FFFFFF|Trans Am Nationals| 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HREF="http://www.78ta.com/sitemap.htm" TARGET="_top" TITLE="http://www.78ta.com/sitemap.htm"><U><B>Site Map</B></U></A></div> <div> If you have trouble</div> <div> viewing the Java Menu above, click the site map Link above.</div> <div>  <STYLE TYPE="text/css"> BODY { scrollbar-3dlight-color: white; scrollbar-arrow-color: white; scrollbar-base-color: black; scrollbar-darkshadow-color: black; scrollbar-face-color: black; scrollbar-highlight-color: silver; scrollbar-shadow-color: white} } </STYLE>  </div> </td> <td valign="top" BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <B>Hitman's Pontiac Trans Am Page</B><FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial" >     |   </FONT><FONT SIZE="1" COLOR="#FFFFFF" FACE="Lucida Sans" >1978 Pontiac Trans Am</FONT></div> <div> ___________________________________________________________________________________________________</div> <div> Credit Card Authorization Form</div> <bR> <div>  <STYLE TYPE="text/css"> BODY { scrollbar-3dlight-color: white; scrollbar-arrow-color: white; scrollbar-base-color: black; scrollbar-darkshadow-color: black; scrollbar-face-color: black; scrollbar-highlight-color: silver; scrollbar-shadow-color: white} } </STYLE>  </div> <DIV ALIGN="LEFT"></DIV> <div>  <a href="HTMLobj-16402/78taCCAuth.pdf"><u>Credit Card Form</u> </a>  </div> <div> <I><B><U><IMG SRC="362e694f0.gif" border=0 width="105" height="79" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></I></div> <div> If you wish to purchase any items using a Credit Card.  Please click on the link above to download the form.  Please fill out the form and fax it back to the number provided on the form.  If you have any questions or problems with the form please send me an email.</div> <bR> <div> E-mail with your questions or requests:<FONT SIZE="2" COLOR="#C0C0C0" FACE="Arial" ><A HREF="mailto:sales@78ta.com" TARGET="_top" TITLE="mailto:sales@78ta.com"><U><IMG SRC="1273c320.gif" border=0 width="60" height="50" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></FONT></div> <bR> <div> © 2001-2008 <FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><A HREF="mailto:hitman@78ta.com" TARGET="_top" TITLE="mailto:hitman@78ta.com"><U><U>Hitman's Trans Am Page</U></U></A></FONT>. All rights reserved.</div> <bR> </td> </tr></table></body>