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INVOICE.EZX
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Text File
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1992-07-18
|
5KB
|
65 lines
================================================================================
| Send Orders to: | INVOICE/REG. NO. | |
| EZX Publishing & Distributing| | YOUR P.O. OR OTHER NO |
| Box 58177 |-----------------------+-----------------------|
| WEBSTER, TX 77598-8177 USA |DATE: |REF/EXT: |
|713/280-9900 FAX:713/280-0099 |-----------------------------------------------|
|-------------------------------Eff.05/92 U P S SHIPPER # T X X X X- X X X |
|------------------------------------------- Red Label? [ ] ZONE [ ] |
| SOLD TO: (ATTN: ACCOUNTS PAYABLE) | Blue Label?[ ] |
|------------------------------------------| Ground? [ ] WEIGHT[ ] |
| | Mail? [ ] |
| | Insured? [ ] $ |
| | Certified? [ ] See rates below.|
| | Other? [ ] S&H is $7 min. |
| | ----------------------------------|
| | |SPECIAL INSTRUCTIONS: |
|------------------------------------------- | |
|^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^# |You may order with your VISA, |
| S H I P T O : (IF DIFFERENT THAN ABOVE)# |MasterCard, American Express, or |
|------------------------------------------# |Discover credit card by calling: |
| # | 1-800-800-2468 ext.EZX TollFree!|
| # | OrderFAX:1-800-733-FAX-3 |
| # | For any other information |
| # |including p.o.s and site licen- |
| # |sing, etc. call: 1-713-280-9900 |
| # |FAX This FORM for ORDERS or INFO |
| # | TO FAX: 1-713-280-0099 (24hrs) |
|..........................................#-----------------------------------|
|TERMS: PAYMENT DUE ON DELIVERY. OTHER? SOLD BY: |
|------------------------------------------------------------------------------|
|TAX EXEMPT? REASON: TAX # EXT: |
|------------------------------------------------------------------------------|
|CONTACT: DATE: TEL# ( ) |
|------------------------------------------------------------------------------|
|V/MC/AX/D # EXP. DATE: / AUTH CODE. |
|(SPECIFY) Cardholder Name: PROC?|
|TEL #S REQD: DAY/OFC - FAX - HM - ----|
|------------------------------------------------------------------------------|
|SOURCE OF ORDER? |Signature Required! |
|==============================================================================|
| ITEM (All products include manual) |Quantity| Price | EXTENSION |
|----------------------------------------------------+--------+----------------|
| | |$ | |
|---------------------------------------------+------+--------+----------------|
| | |$ | |
|---------------------------------------------+------+--------+----------------|
| | |$ | |
|---------------------------------------------+------+--------+----------------|
| | | | |
|---------------------------------------------+------+--------+----------------|
| | | | |
|---------------------------------------------+------+--------+----------------|
| Prices are subject to change without notice.| CALL | | |
|-------------------------------------------------------------+----------------|
|S&I:$7 min.|$12-2day/US48|CANADA/APO/FPO/HI/AK/PR,$12|Fgn.$24| |
|-------------------------------------------------------------+================|
|Add $2 for each addl. item. POs accepted from govt|SUB-TOTAL | |
|& rated companies. ($50 minimum) ----------------------------+================|
|USA Checks only. 10 days to clear|SalesTax 8.25% TX must add.| |
|---------------------------------+---------------------------+----------------|
|Amt.Rcvd. Ck# Due |Shipping & Insurance Above | |
|-------------------------------------------------------------+----------------|
|1-orig/2-label/3-customer/4-packing THANK YOU! | TOTAL | |
================================================================================