Nona Designs & Dancing Designs
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If you prefer to submit your credit card
via our Secured Server, CLICK HERE

We accept Checks drawn on U.S. funds/U.S. Banks, Money Orders,
Master Card & Visa
** Privacy Statement!**
Please provide the following Information
then print and FAX this page:
1. CREDIT CARD INFORMATION:
(Please complete all fields!)
(Select One) MASTERCARD VISA?
Credit Card Acct. Number?
**Please check carefully to prevent order delays!**
Expiration Date?
2. BILLING INFORMATION:
(Please complete all fields!)

Name as it appears on Card:
Billing Address:
City/State/Zip
Email Address:
(Please check E-Mail address carefully!)
Name under which the
Order was Placed?



(If different from Billing Name, Above)
Area Code/Phone #:
3. Print and Fax this Page to:
301/570-8853
4. ALERT US:

After faxing, CLICK HERE to let us know
your fax is on the way (no credit card details will be transmitted!)

** Privacy Note!**
We do not sell or share any information you provide!
We guard all personal information carefully. If you have any questions, let us know!

RubberD & DancingD
16604 Music Grove Court
Rockville, MD 20853
(301) 570-8853 (phone & fax)

E-MAIL:

rubberd.com
dancingd.com

WEB:

www.rubberd.com
www.dancingd.com