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Printable Product Order Form

ONE CD-ROM $29.95 = SPECIAL DISCOUNTS: Any Three CD-ROMS- $65.00 =Any Five CD-ROMS- $99.00

Fax credit card orders to (803) 649-1185 or mail order form with check to David Vine Associates, LLC 963 Dougherty Road, Aiken, SC  29803.

Item

Unit Price

Qty

Subtotal

Payment Options

 

q       CHECK # ___________

 

CREDIT CARD:

q       Visa

q       MC

q       Am Ex

q       DSC

 

#: ___________________________

 

Exp. _____________________

 

Name on card (Please Print):

 

___________________________

 

Signature:

 

___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

Add shipping charge @ $4 for the first CD, $0.75 each additional; max $12

 

SC residents please add 7% sales tax

 

TOTAL

 

Name:                                                                                                   Title:

Organization                                                                                         Dept./MS

Address:

City:                                                                                                      State:                             Zip:

Tel:                                          Fax:                                         Email:

For further information or questions, please call (803) 649-1184.

Your satisfaction is guaranteed.  Just return the product(s) to us within 30 days for a refund of the purchase price.