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Text File  |  1993-06-10  |  2KB  |  57 lines
  1.                                           
  2.                      D E L U X E    O R D E R   F O R M                              
  3.  
  4.                                                 
  5.    DELUXE Business Forms  &  Supplies           Phone # 1-800-328-0304                
  6.    A Division of Deluxe Corporation             Fax #   1-800-336-1112
  7.    P.O. Box 64046, St. Paul, MN 55164-0046      
  8.     ___                                       
  9.    |_1_|                                  Compatibility Code = T-08467
  10.                                      
  11.  
  12.    Customer:________________________________ Title:___________________              
  13.    
  14.  
  15.    Firm Name:_________________________________________________________
  16.  
  17.  
  18.    Street Address:____________________________________________________
  19.  
  20.  
  21.    City:________________________________ State:_____ Zip Code:________
  22.  
  23.  
  24.    Phone Number: (    )___________ 
  25.  
  26.    -------------------------------------------------------------------
  27.    BILL TO:(if different from customer)
  28.     ___
  29.    |_2_|
  30.    
  31.    Firm Name:_________________________________________________________
  32.  
  33.  
  34.    Attention:_________________________________________________________
  35.  
  36.  
  37.    Street Address:____________________________________________________
  38.  
  39.    
  40.    City:________________________________ State:_____ Zip Code:________
  41.  
  42.    -------------------------------------------------------------------
  43.    SHIP TO:(if different from customer)
  44.     ___
  45.    |_3_|
  46.  
  47.    Firm Name:_________________________________________________________
  48.  
  49.  
  50.    Attention:_________________________________________________________
  51.  
  52.  
  53.    Street Address:____________________________________________________
  54.  
  55.    
  56.    City:________________________________ State:_____ Zip Code:________
  57.