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Monster Media 1993 #2
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FORM2
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1993-06-10
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5KB
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88 lines
D E L U X E C H E C K O R D E R F O R M
___
|_4_| Compatibility Code = T-08467
_______________________________________________________________________
| Product | Quantity | Number | Background | Starting | Price |
| Number | | of Parts | or Ink Color | Number | |
|_________|____________|__________|_______________|____________|________|
| | | | | | |
| | | | | | |
|_________|____________|__________|_______________|____________|________|
| | | | | | |
| | | | | | |
|_________|____________|__________|_______________|____________|________|
| | | | | | |
| | | | | | |
|_________|____________|__________|_______________|____________|________|
| | | | | | |
| | | | | | |
|_________|____________|__________|_______________|____________|________|
| | | |
|ATTENTION ALL CHECK ORDERS: | EXTRA CHARGES * | |
| Enclose a sample of the check you |____________________|________|
| are now using with "VOID" written | | |
| across it. | SUBTOTAL | |
| For new accounts, enclose a MICR |____________________|________|
| encoding form obtained from your | | |
| financial institution. | TAX ** | |
| |____________________|________|
| | | |
| | THANK YOU - TOTAL | |
|_________________________________________|____________________|________|
| PLEASE NOTE: Extra charges below are per product |
| * $4.75 CHARGE for using standard logos available from Deluxe |
|LOGO ARTWORK |
| * $40.00 Charge for your own logo (new order) |
| * $25.00 Charge (a $15.00 savings) |
| when you provide camera ready artwork. |
| * $5.00 Charge for your own logo (re-order) |
| * ANTIQUE & MONTEREY DESIGN CHECKS - Add $14/thousand |
| (500 order, also add $14.00)|
| ** We are required to charge you state, county or local sales tax |
| where applicable. Illinois residents are required to pay a 3.375% |
| sales tax. Government regulations require that we charge your |
| state tax. Prices subject to change without notice. |
|_______________________________________________________________________|
D E L U X E C H E C K O R D E R F O R M
___
|_5_| Compatibility Code = T-08467
PAYMENT OPTIONS:
___ Check or Money Order Enclosed, made payable to Deluxe Computer Forms
___ Visa ___ MasterCard ___ American Express
_________---_________---_________---_________ _______ /_______/_______
Account Number Expiration Date
Signature:_______________________________________________________________
-------------------------------------------------------------------------
___
|_6_|
INFORMATION TO BE PRINTED: (if possible, enclose printed sample showing
correct name and address)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________