Your Company Name

Company Address
Company Phone Number
Company e-mail address
Product A

$ price

STOCK# - Product description including sizes, colors, quantities, discounts, materials, special advantages - anything the customer needs to know to make ordering easy!

Order Form - Print & Fax or Mail this form to order this product. Please allow 10 days for delivery, from date of receipt.

Enter order here:

Quantity            _______
Cost x Quantity     _______
Shipping & Handling    5.00

TOTAL DUE           _______
Send to:

Name ____________________________________________________
Address _________________________________________________
City ______________________ State ______ Zip ____________
Telephone _______________________________________________
BankCard No. ______________________ Expires ___/___/_____
__ MasterCard __ Visa __ American Express
Make checks payable to Your Company Name.

All sales carry this guarantee: IF YOU ARE NOT COMPLETELY SATISFIED WITH YOUR PURCHASE, RETURN IT TO US WITHIN TEN DAYS OF RECEIPT, WE WILL REFUND YOUR MONEY WITH NO QUESTIONS ASKED.
Last Update 27 June 95 eb
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