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Text File  |  1996-10-13  |  292 b   |  9 lines
  1. Circle video format if known: VHS, NTSC, Beta, Pal, SECAM
  2.  
  3. Payment:
  4.  
  5. ____Purchase Order  ____Check/Money Order (U.S. funds)  ____Visa  ____Mastercard 
  6.  
  7. Card #____________________________    Expiration Date ___/___/___  
  8.  
  9. Name on Card__________________________   Signature ____________________