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Text File  |  1994-07-05  |  627b  |  40 lines
  1.  
  2.         Pacific HiTech E-mail Order Form
  3.            send to:  orders@pht.com
  4.  
  5. If you prefer not to order by e-mail, call 1-800-765-8369.  Sorry,
  6. no COD's.  You can also use this form to fax and order...see number
  7. below.
  8.  
  9.  
  10.     Name:
  11.     Company:
  12.     Street Address 1:
  13.     Street Address 2:
  14.     City, State/Province:
  15.     ZIP code/Postal Code:
  16.     Country:
  17.  
  18.     Telephone Number:
  19.     Fax Number:
  20.     E-mail address:
  21.  
  22.     Credit Card Number:
  23.     Expiration Date:
  24.  
  25.     CD-ROM's ordered (list all desired):
  26.         
  27.  
  28.  
  29.  
  30. Pacific HiTech, Inc.
  31. 3855 South 500 West
  32. Salt Lake City, Utah 84115
  33. USA
  34.  
  35. Tel:    801-261-1024
  36. Fax:    801-261-0310
  37. Internet:    info@pht.com
  38. CompuServe:    71175,3152
  39. AppleLink:    PHT
  40.