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Text File  |  1993-09-12  |  2KB  |  59 lines
  1.                 S H O O T I N G    B R I C K    P R O D U C T I O N S
  2.  
  3.                             PO Box 549 Moss Beach, CA 94038
  4.                                          
  5.                   Voice:  415/728-3104  M-F 9am to 5pm (Pacific)
  6.                           Fax:  415/728-0244  (Anytime)
  7.         ___________________________________________________________________
  8.                                        
  9.                           SetDRAW Registration Order Form
  10.                                        
  11.               ! ! ! !     P L E A S E   P R I N T   C L E A R L Y     ! ! ! !
  12.  
  13.     First Name____________________ Last Name___________________________ 
  14.  
  15.     Company Name_______________________________ Title__________________
  16.  
  17.     Street Address_______________________________________ Suite________
  18.  
  19.     City_______________________ State____ Zip__________ Country________
  20.  
  21.     Phone(_____)_______-______________ Fax(_____)_______-______________
  22.  
  23.     Where did you get SetDRAW from?_____________________________________
  24.  
  25.     Comments?___________________________________________________________
  26.  
  27.     ____________________________________________________________________
  28.  
  29.     Enter Control Number SetDRAW displayed: |__|__|__|__|-|__|__|__|__|
  30.  
  31.     First site is $25(US)                    $     25.00
  32.     
  33.     Every additional site is $5(US)                $
  34.  
  35.     (California residents add CA state sales tax $1.85)     $ 
  36.                                  ___________
  37.  
  38.                             Total    $
  39.  
  40.  
  41.     Enclosed (Check one) Check__  Cash__  Money Order__  Visa__ MCard__
  42.  
  43.  
  44.     Card # |__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__|
  45.  
  46.     Expiration Date ____/_____
  47.  
  48.     Name as it appears on card__________________________________________
  49.  
  50.  
  51.     Signature___________________________________________________________
  52.  
  53.  
  54.          Orders are processed within one business day of receipt.
  55.  
  56.          You may fax this form to SBP with Visa/MasterCard Orders. 
  57.          
  58.          For Cash/Check/MO orders, please Mail to the above address.
  59.