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This is a `Self-Totaling` Form. Select tickets below to demonstrate features of this form
          
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Paypal Order Form (self-totaling)
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
Products for Sale
CategorySelectionQtyTotal
Video Game Console 1:
Video Game Console 2:
Accessories:
Sub-Total:
Tax (AZ 8.10%):
Grand Total:
Billing Information
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:Apt. or Suite No.
City:*
State:*
Zip Code:*
Phone:
Shipping Information
Different than billing info
Yes No 
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Order Information
Order Number:
Reset 
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