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INVOICE.DOC
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1992-05-22
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I N V O I C E
Disk type desired 5 1/4 ( ) 3 1/2 ( ) High Density ( )*
Name ______________________________________________________________
Company ______________________________________________________________
Address ______________________________________________________________
______________________________________________________________
City ________________________________State _______ Zip ____________
Phone ______________________________________________________________
Date ______________ Copies ____ @ $ 5.00 Each ___________
Sales tax ( NJ only 7%) ___________
U.S. funds please... Total Amount $ ___________
Check ( ) Money Order ( ) Visa ( ) MasterCard ( )
Name on Card ________________________________________________________________
Card Number _________________________________________ Expires ______________
Signature: ________________________________________________________________
Mail to:
Blue Chips Incorporated
570 Grand Avenue
Ridgefield, NJ 07657
Credit Card Orders : 1-800-932-6365
CIS Address ___________________________ Other _____________________________
Where did you acquire TLLM(tm) ______________________________________