Clearco Order Form

To receive our catalog, please print this page and mail the completed form to:
CLEARCO
P.O. BOX 255025
Sacramento, Ca. 95865-5025 U.S.A.
Be sure to include proper payment. Thank You.

Please send the CLEARCO catalog to:

Name:________________________________________________________________

Address:______________________________________________________________

City:___________________________________________ State:___________

Country:____________________________

Zip Code:___________________________

Optional:

Enclosed is $6.00 for U.S. or $10.00 for overseas customers: $__________

I certify that I am over 18 years of age and take tattooing seriously
and that I am fully responsible for my actions.

*_____________________
               
______________________
Signature Date

*______________________
Name (print)












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