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PRINTABLE ORDER FORM - DIGITAL WEB GOLD
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Date: |
Ship-to
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Phone: |
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Qty.
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Item Description
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Price
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Subtotal
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Total
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( see International shipping rates if applicalbe)
Shipping
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Ohio Residence add 6.5% Sales Tax
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Total of Order
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| Credit Card Number |
Another Form of Payment?
___ Check Enclosed*
___ Money Order Enclosed
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| Name on Card |
Expiration
Date |
| Your Signature |
Please Note: Be sure to include your credit card
expiration date and email address.
* Orders paid by a personal check may be held until the check clears.
Mail to: Digital Web Gold
P.O. Box 342
Belle Valley, OH 43717 USA
Fax: 775-415-3085
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