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Text File  |  1992-04-21  |  1.4 KB  |  52 lines
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  4.                                     INVOICE
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  8.                              Peak InfoSystems, Inc.
  9.                          31 E. Platte Avenue, Suite 214
  10.                         Colorado Springs, Colorado 80903
  11.                      Phone: (719) 471-1618    Fax: 471-1637
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  15.           Registration for Peak InfoSystems, Inc., BULKMAIL $50.00
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  17.           Colorado residents add 3% sales tax: $ 1.50       ______
  18.  
  19.           El Paso county residents add 1% sales tax: $ .50  ______
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  21.           Total enclosed:                                   ______
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  25.           [ ] Check [ ] Money Order [ ] Master Card [ ] VISA
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  27.           Make check payable to Peak InfoSystems, Inc.
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  29.           If Master Card or VISA: Card Number: ___________________
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  31.           Expiration Date:                   _____________________
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  35.           ========================================================
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  37.           Name:    _______________________________________________
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  39.           Firm or Agency: ________________________________________
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  41.           Address: _______________________________________________
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  43.           ________________________________________________________
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  45.           City, State, Zip Code:
  46.           ________________________________________________________
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  48.           Telephone: (Area)__________ Number _____________________
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  50.           (6.0)
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