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Text File  |  1993-07-13  |  2KB  |  59 lines
  1.                            S H O O T I N G   B R I C K
  2.  
  3.                               P R O D U C T I O N S
  4.  
  5.                                     PO Box 549
  6.                                Moss Beach, CA 94038
  7.                                          
  8.                   Voice:  415/728-3104  M-F 9am to 5pm (Pacific)
  9.                           Fax:  415/728-0244  (Anytime)
  10.         ___________________________________________________________________
  11.                                        
  12.                          SetDRAW Registration Order Form
  13.                                        
  14.               ! ! ! !     P L E A S E   P R I N T   C L E A R L Y     ! ! ! !
  15.  
  16.  
  17.     First Name____________________ Last Name___________________________ 
  18.  
  19.     Company Name_______________________________ Title__________________
  20.  
  21.     Street Address_______________________________________ Suite________
  22.  
  23.     City_______________________ State____ Country________ Zip__________
  24.  
  25.     Phone Number (_____)_______-____________
  26.  
  27.     Fax Number   (_____)_______-____________
  28.  
  29.  
  30.     Enter 6 Digit Serial Number SetDRAW displayed: |__|__|-|__|__|__|__|
  31.  
  32.  
  33.     Cost of Registering SetDRAW is $20(US)            $     20.00
  34.  
  35.     ( California residents add CA state sales tax $1.45 )    $ 
  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.