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r *Customer Information must be complete to ensure proper account setup* <br /> Pick UA Location: <br /> Company: True Classic Tattoo & Piercing <br /> Address: 423 E Miner St <br /> Stockton, CA 95202 <br /> Phone: 209-937-0937 <br /> Fax: <br /> Email: trueclassictattoo@clearwire.net <br /> Contact Name: Victor Lara <br /> Hours of Operation: M-F 12PM-8PM <br /> BiR to Information: <br /> Please circle one: Same as Pick up site (or) different address: <br /> If different, please complete below: <br /> Company: <br /> Address: <br /> Phone: <br /> Fax: <br /> Accounts Payable Contact: <br /> *Please sign and fax back all 3 pages to 800-526-9151 <br />