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Text File  |  1991-10-16  |  1KB  |  24 lines
  1.                                    ORDER FORM
  2.                                    ----------
  3.  
  4. Remit to:                                                        From:
  5.  
  6. Longford Business Services                    _________________________________
  7. 45 Longford Avenue                            _________________________________
  8. Little Billing                                _________________________________
  9. Northampton                                   _________________________________
  10. NN3 4UR                                       _________________________________
  11. UK                                            _________________________________
  12.  
  13.  
  14. Qty       Description                       Unit Price       Total
  15.                                             (inc. P&P)
  16.  
  17. ___       PATRIOT PROGRAM LAUNCHER              £ 7.50     ____.__
  18.  
  19.                                                  Total     ____.__
  20.  
  21. I Use 5 1/4" ____   3 1/2" ____ disks  (choose one)
  22. I require a VAT invoice _______  (yes/no)
  23.  
  24.