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Text File  |  1988-02-10  |  850b  |  29 lines

  1.     ORDER FORM
  2.  
  3.     STEVE SILVA
  4.     3902 NORTH 87TH STREET
  5.     SCOTTSDALE, AZ 85251
  6.                                                           EXTENDED
  7.     ITEM                            QUANTITY    PRICE      PRICE
  8.  
  9.     SSQL                             ______     $30.00     ______
  10.  
  11.     Shipping and Handling                                   $2.50
  12.  
  13.  
  14.                                                  TOTAL     ______
  15.  
  16.     Please make check payable to:  STEVE SILVA
  17.     Sorry, NO credit cards
  18.  
  19.     Name ________________________________________________________
  20.  
  21.     Address  ____________________________________________________
  22.  
  23.              ____________________________________________________
  24.  
  25.     City  _______________________________________________________
  26.     
  27.     State  _____________       Zip __________________
  28.  
  29.