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| 1.
PLEASE PRINT THIS ORDER FORM.
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| 2.
PLEASE FILL IN THE FOLLOWING INFORMATION:
DISH MANUFACTURER:_______________________ |
| NAME: _______________________________________ |
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ADDRESS: _______________________________________
SITE/APT: _______________________________________
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| CITY: _______________________________________ |
| STATE: ________________ ZIP: _________________ |
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EMAIL: __________________________
PHONE: __________________________
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| 3.
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| COMPLETE BULLSEYE SYSTEM..............$ 79.95 |
| UPS SHIPPING - (11 POUNDS)...................$ 16.00 |
| CALIFORNIA ONLY - ADD TAX - $5.80 .....$_______ |
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TOTAL.............$_______
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| 4.
MAIL ORDER FORM WITH CHECK OR MONEY ORDER TO:
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