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Monster Media 1994 #2
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94_ORDER.FRM
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1994-07-12
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ExecNet Information Systems
╔══════════════════════════════════════════════════════════════╗
║░░░░▒▒▒▒▓▓▓▓███│ 1994 OFFICIAL MAGAZINE GUIDE │███▓▓▓▓▒▒▒▒░░░░║
║░░░░▒▒▒▒▓▓▓▓███│ Order Form │███▓▓▓▓▒▒▒▒░░░░║
╚══════════════════════════════════════════════════════════════╝
Data: 914-667-4567 updated 7/94
┌────────────────────────────────────────┬──────────────────────┐
│Print page out, list magazines mail->│RECEPTION ROOM SERVICE│
│on it & mail to address at right, │911 COOKS BROOK RD │
│or if using a credit card, you │COOKS FALLS NY 12776 │
│may FREE FAX it. Please include fax->│(800) 909-2323 │
│labels from magazines to renew. ├──────────────────────┤
│ │Choose payment option │
├────────────────────────────────────────┤[]Visa []MasterCard │
│Name │[] check write to RRS │
│ │ │
├────────────────────────────────────────┼──────────────────────┤
│Address │ card no. │
│ │ │
├────────────────────────────────────────┼──────────────────────┤
│City State Zip │ exp. date │
│ │ │
├────────────────────────────────────────┼──────────────────────┤
│Company Name (optional) frm60│ signature │
│ │ │
└────────────────────────────────────────┴──────────────────────┘
____________________________________ __________ _______ _______
Title of Magazine # of years renewal price
____________________________________ __________ _______ _______
Title of Magazine # of years renewal price
____________________________________ __________ _______ _______
Title of Magazine # of years renewal price
____________________________________ __________ _______ _______
Title of Magazine # of years renewal price
____________________________________ __________ _______ _______
Title of Magazine # of years renewal price
No sales tax, no other hidden charges! Total: _______
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you Give us the name, address & magazine name - we do the rest!
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THANK YOU FOR YOUR MAGAZINE SUBSCRIPTION ORDER