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- ═══════════════════[ Silver Xpress Order Form ]═══════════════════
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- REAL_NAME: &F1&
- COMPANY: &F2&
- ADDRESS: &F3&
- CITYSTATE: &F4&
- ZIPCODE: &F5&
- VPHONE: &F6&
- LOGINID: &F7&
- CARDNUMBER: &F8&
- EXPIREDATE: &F9&
- CARDNAME: &F10&
- SHIPMETHOD: &F11&
- DISKETTETYPE: &F12&
- ORDERTYPE: &F13&
- OLDRDRCODE: &F14&
- COMMENT1: &F15&
- COMMENT2: &F16&
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- THANK YOU FOR YOUR PURCHASE
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