MAIL OR FAX THIS ORDER FORM TO: |
TC Computers |
PO BOX 1014
223 N Redwood Hwy Ste B |
Cave Junction, OR 97523 |
Fax: (541) 592-3349 |
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YOUR
NAME:_____________________________________________________________
ADDRESS:_______________________________________________________________
CITY:_________________________________STATE:______________ZIP__________
PHONE:_______________________________EMAIL:____________________________
PAYMENT ENCLOSED: $______________
CREDIT CARD: (_)VISA; {_ }MASTERCARD; {_ }AMERICAN
EXPRESS; {_}DISCOVER/NOVUS
CARD
NUMBER:____________________________________EXP:_________________ SIGNATURE:___________________________________________________________
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Item Description |
Price |
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SUBTOTAL $____________|
SHIPPING AND HANDLING ____________|
TOTAL ENCLOSED $____________| |
