How to Look Fabulous Offline Order Form Ordering Options: 1. If you prefer to pay by cheque or money order, simply copy this order form and make cheque or money order payable to Dicks Dynamic Impressions and mail the completed form to: Dicks Dynamic Impressions 1793 Coxheath Road Sydney, Nova Scotia, Canada, B1L 1A7 Be sure to include your email address so we can email the download instructions when your order has been processed. First Name: Last Name: Company: Address: City: State/Prov.: Zip/Postal Code: Country: Phone: Fax: Email: Product Name: Paying By: Credit Card Debit Card Cheque (Make Payable to: Dicks Dynamic Impressions) Money Order Credit or Debit Cards Card Number Expiration Date (mmyy) If paying by credit or debit card, you will be charged under the name of Dicks Dynamic Impressions If paying by cheque or money order, please remit to, Dicks Dynamic Impressions .