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INTERNATIONAL LITERATURE ORDER FORM
NAME:
________________________________________________
_
COMPANY:
________________________________
~-----------
ADDRESS:
____________________________________________
_
CITY:
_____________________
STATE:
___
ZIP:
___
__
COUNTRY:
_____________________
__
PHONE
NO.:
~_-L
__________________
__
ORDER
NO
TITLE QTV. PRICE
TOTAL
x
x
=
x
-,
----,
x
=
x
=
x
=
x
=
x
x
=
x
Subtotal
Must Add Your
Local Sales Tax
Total
PAYMENT
Cheques
should be made payable to your loes/lntel Sales Office (see inside back cover).
Other forms of payment may be available in your country. Please contact the Literature Coordinator at your
loes/lntel Sales Office for details.
The
completed form should be marked to the attention
of
the
LITERATURE COORDINATOR and returned to
your loes/lntel Sales Office.
CG/091790