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Order Form |
Date: ____/____/_____ |
Click buttons to order through PayPal using your credit card or PayPal account,
or to order by mail, simply print this form, fill it out, and send it in.
or to order by mail, simply print this form, fill it out, and send it in.
|
Name
Address City, State Zip Phone |
_______________________________________________
_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ |
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Quant. |
Description (click links for more info) |
Price Ea. |
Total |
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ok |
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$ 10.00 |
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ok |
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$
20.00 |
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ok |
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$499.00 | |||
ok |
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$ 15.00 |
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ok |
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$999.00 |
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Grand Total |
$________ |
| Make checks payable to: | Cinevid
Productions 9001 Portage Pointe Drive, A107 Streetsboro, OH 44241 |
