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Portable Network Graphic  |  1996-08-15  |  13KB  |  367x494  |  4-bit (6 colors)
OCR: Personal Info Billing Info Name Payment Method: [Check One) Cash Check Street Money Order [Above Must Be Enclosed] Yisa MasterCard American Expre City State Name on Card Countr Card Number Phone Email Exp Date Signature Order Selections Credit Your Card's Billing Card Customers: Addres: Include Below Product Price Quantity Cost Audion CD ROM 534.91 Audion ClixSoundM aste W/Al Settings $54.99 ClixSoundMaster $20.00 Settings Yo ur Choice[s] Add' Settings Lstereo Cyber Shipping $5.00 Seductive TOTA Billing Address (Credit Card Orders Only) Please include billing address : for vour credit card for cherge varification Card Address City State Country Indical Macintosh-Only Product Expres Sianature Bling Settinas Stereo TOTAL credi charge vanification