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ORDER.FRM
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Text File
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1997-01-01
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1KB
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43 lines
Rosenthal Conflict Resolver Order
To:
_____________________________________________
Rosenthal Engineering name and shipping address
P.O.Box 1650
San Luis Obispo, CA USA
93406 _____________________________________________
address
** PLEASE TYPE OR PRINT **
_____________________________________________
_____________________________________________
city, state zipcode (country)
License registration. Includes "Anyalizer" circuit board. $99.00
California residents add 7.25% sales tax on subtotal - - - - - _______.____
Shipping and handling per order add $5.50 for USA,
Canada and Mexico add $6.75. Others add $7.50 - - - - - - - - ____.____
Please pay by check or money order in US funds, - Total $________.____
drawn on US banks, Visa or Master Card.
_________________________ _______________________ _____________
card holder name Visa/MC number Expr. date
Diskette size (check one) 3 1/2" ( ), 5 1/4" ( )
How did you learn of this product?
(ver 08/05/96)