Name:__________________________________________Telephone: (___)____________

Address:___________________________________________________________________

City:_________________________________State:____________________Zip______

Date:_________________________________

Payment:______________________________Make Payable to: Steve's Computer Tech

� Cashier's Check or Money Order enclosed for $______________ C.O.D.' S add $6.00 (US Only).

� Visa � Mastercard � AMEX � Discover/Novus #_________________________EXP. DATE________

SIGNATURE_______________________________________

Email:_____________________

Quantity    Item #     Description             Price       TOTAL    

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Total Shipping Charges:___________________

Total Amount for Items: _____________________

California Residents Add Local Sales Tax:____________________

TOTAL AMOUNT:____________________