Place Your LA Partnership for LTC Order

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OR fill out demographics below

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Quantity to Order(Required)

If quantity is 500-999, add $50 flat set up fee. If under 500, add $100 set up. Does not include shipping/handling or tax for TX orders.

Notes and Instructions

Company name

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Name(Required)

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Address(Required)

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Note: We will contact you for card information. Order is subject to zip code availability under our 90 day file protection policy

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