Acroprint 175 & 310

Print and Fax to: 215.674.9338
or mail to:
Pitrone & Associates
9 Park Avenue
P O Box 711
Hatboro, PA 19040

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Company:_______________________________

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Ribbons for Acroprint 175 - 310   (2 to 11  ribbons) Quantity Ordered_____Price Each $12.00 Total __________

Ribbons for Acroprint 175 - 310  (12 or more ribbons) Quantity Ordered_____Price Each $10.00 Total ________

Ribbons for Acroprint 175 - 310   (36 or more ribbons) Quantity Ordered_____Price Each $9.00 Total ________

Shipping (flat rate continental U.S.A shipments)______________________________________$7.50

PA State  6% Sales Tax (PA SHIPMENTS ONLY) ____________________________Total_____________

Charge to my: [MasterCard]____[Visa]____[Discover-Novus]____[American Express]______

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Exp Date:_________________

Signature:________________________________________________________

Date:_________________