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orderfrm.txt
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1990-04-07
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1KB
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52 lines
PEOPLE
+-----+
|Place|
|Stamp|
|Here!|
+-----+
Easy Automation, Inc.
P.O. Box 670041
Marietta, Georgia 30066-0118
PEOPLE REGISTRATION FORM.
SHIP TO:
Name: __________________________________________________
Address: _______________________________________________
________________________________________________________
City: ______________________State:____ Zip: ____________
Quantity Item Cost Price
=================================================================
_______ PEOPLE $40.00 ea ______
Tax (GA residents only) 4% ______
TOTAL ______
Master Card/VISA Number _______________________ Exp Date _________
Signature_________________________________________________
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