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Name:__________________________________ Company:_______________________________ Address:________________________________ Address:________________________________ City:________________________State:______ Country:___________ZipCode:_____________ Phone Number:__________________________ Fax Number:____________________________ E-Mail:________________________________ |
Name:__________________________________ Company:_______________________________ Address:________________________________ Address:________________________________ City:________________________State:______ Country:___________ZipCode:_____________ Phone Number:__________________________ Fax Number:____________________________ E-Mail:________________________________ |
Amano MJR7000 timeclock(s)..........Quantity Ordered______Price Each $995.00 Total________
Amano timecards #000-099 2000/Box....Boxes Ordered ______Price
Each $80.00 Total ________
Shipping (flat rate continental U.S.A shipments) (clock only)______$19.95
Shipping (flat rate continental U.S.A shipments) (clock and
cards)_$29.95
Shipping (flat rate continental U.S.A
shipments)....................................................
__________
PA State 6% Sales Tax......... (PA SHIPMENTS ONLY) ___________________ Total_____________
Charge to my: [MasterCard]____[Visa]____[Discover-Novus]____[American Express]______
Cardholder Name:_________________________________________________
Card Number:_____________________________________________________
Exp Date:_________________
CVV Code:________________
Signature:________________________________________________________
Date:_________________
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