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ORDER.TXT
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1993-04-21
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======================== TurboDLD Deluxe Order Form =======================
Panacea, Inc. - 24 Orchard View Drive - Londonderry, NH 03053-3351
Voice: 800-729-7420, Fax: 603-434-2461, BBS: 603-432-5193
_____________________________________________________________________________
TurboDLD Deluxe can be purchased through your local Panacea Authorized
Reseller or directly from Panacea. For the Reseller nearest you or to place
a phone order, call our Sales Department at 800-729-7420.
To fax or mail your order, print out this document, fill in the necessary
information and fax it to (603) 434-2461, or mail it to the address above.
_____________________________________________________________________________
Customer Information:
Name: __________________________________________________
Company: __________________________________________________
Address: __________________________________________________
City: _______________________ State:___________________
ZIP: _______________________ Country: ________________
Daytime Phone #: ____________________ FAX #: ____________________
=============================================================================
TurboDLD Deluxe $249.00 each x ______ = ______
Shipping (per chart) x ______ = ______
ORDER TOTAL (U.S. Funds) $________
Save up to 60% - Call for 5 and 10 pack pricing.
TERMS: MasterCard, VISA, American Express, Check or Money Order drawn on
a U.S. bank in U.S funds accepted. Please make checks payable to
PANACEA, Inc. Prices and terms subject to change without notice.
=============================================================================
Shipping Chart:
Continental U.S. Alaska & Hawaii Canada Europe
Normal $ 9.00 N/A $29.00 $41.00
(2 days) (3 days) (5 days)
Overnight $13.00 $23.00 N/A N/A
(Guaranteed next day - order must be received by 1PM EST)
_____________________________________________________________________________
Credit Card Information:
Card Type (circle one): MasterCard VISA American Express
Card Number _____________________________ Expires: ____________________
Card Holder's Name (As printed on card) ________________________________
Card Holder's Signature REQUIRED _______________________________________