Email Marion for more information.
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NAME: ________________________________________________________________________
ADDRESS: ___________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
EMAIL: _____________________________________________________________________
Tee Shirt (Mens) SIZE / Quantity: Small____ Med____ Large____ Extra Large ____
OTHER aciremA® Products you are interested in:
Circle: Magnets, Bumper stickers, Stickers, Jewelry, or Indicate OTHER_________________________.
SUGGEST A U.S. COMPANY for listing on aciremA.com: ______________________________________________
aciremA ® (at aciremA.com)
PO Box 442
Pittston, PA 18640
We will NOT sell or intentionally share any of your information!
We reserve the right to change prices or withdraw offer at any time at our sole discretion.
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