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Item Order Form

To order any item, fill out this form. Form items with * are manditory.

  1. Please provide the following contact information:
    *Name
    Title
    Organization
    *Street address
    Address (cont.)
    *City
    *State/Province
    *Zip/Postal code
    Country
    Work Phone
    Home Phone
    FAX
    *E-mail
    URL
  2. Please provide the following ordering information:
    QTY DESCRIPTION
    BILLING
    *Credit card
    *Cardholder name
    *Card number
    *Expiration date
    SHIPPING
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country

 

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Copyright © 1998 Computer Tutor, Ltd.
Last modified: December 01, 1998