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Text File  |  1998-10-08  |  2KB  |  54 lines
  1.                      ORDER FORM
  2.  
  3.                             Please fill out and print, then sign before mailing or faxing
  4.  
  5.                         Jintek
  6.                                     3883 Ruffin Rd.
  7.                                     San Diego, CA  92123
  8.  
  9.                                     (619) 654-3355  (Voice)
  10.                                      (619) 654-3366  (Fax)
  11.  
  12.                                       paul@palos.com
  13.  
  14. ******************************************************************************
  15.  
  16.             Wall Street Quest:                           $149.00 
  17.  
  18.             Shipping and Handling:                               
  19.             ($5 priority, $20 overnight, $45 overseas)
  20.  
  21.             Sales Tax (CA only, 7.75% = $11.60):                 
  22.  
  23.                                               Total:             
  24.  
  25. ******************************************************************************
  26.  
  27. Ship to
  28.  
  29.  
  30. Name                                                              
  31.  
  32. Address                                                           
  33.  
  34.                                                                   
  35.  
  36. City                           State        Zip Code              
  37.  
  38. Country                       
  39.  
  40.  
  41. ******************************************************************************
  42.  
  43. If paying by credit card (MC, Visa, AMEX),
  44.  
  45.  
  46. Card Number                              Expiration Date          
  47.  
  48. Name as it appears on card                                        
  49.  
  50. Signature                                    Date                 
  51.  
  52.  
  53. ******************************************************************************
  54.