Bill To: Our Value Customer

BLK Contemp Pot Holder - 1642 2.00 Each @ $25.893 1 $1.79 (Reg Price) $36.99 p1

As a valued customer, you have saved $5.19 on this purchase

BUYER AGREES TO PAY TOTAL AMOUNT ABOVE WITH ISSUER CARDHOLDER'S AGREEMENT WITH ISSUER

NAME: VALUE CUSTOMER AMT: $86.38

Authorized Signature _______________________________