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- Order form
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- Item price quantity extended price
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- Squetris I 14.95
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- Squetris II 14.95
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- Squetris III 14.95
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- Squetris I & II 24.95
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- Squetris I & III 24.95
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- Squetris II & III 24.95
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- Squetris I & II & III 29.95
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- subtotal _______
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- shipping and handling 5.00
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- Colorado residents add state and local sales tax _______
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- total _______
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- METHOD OF PAYMENT
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- Check or Money Order ___
- (make payable to Cogitaphilic Corporation)
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- MasterCard ___ VISA ___
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- Expiration Date ______________
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- Card Number _______________________________________________
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- Card Holder's Signature REQUIRED __________________________
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- Order by U.S. Mail:
- Cogitaphilic Corporation
- P.O. Box 270614
- Fort Collins, CO 80527
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- or by E-mail to the company president:
- E-mail:Paul_B_Nash@compuserve.com
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- Prices good until December 1998.
- Contact Cogitaphilic Corporation for prices beginning in the year 1999.
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