Bulk CD Order form

Order Form
BulkList email addresses on cd

Your Name:

Address: (Must Match credit card Billing address)
City
State/Province
Zip Code:


Email Address: (picks will be emailed back)
Web Address: (Http://www.Your site.com)

Phone Number:
Fax Number:

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SELECT PRODUCT(S)

Bulk Email Cd $129, Free overnite Shipping

DeskTop Server $299, Free Bulk Mail CD and Free Overnite Shipping

Payment Information:

Credit Card:

Credit Card Number:

Expiration Date:

To order by check Print out this form and mail it along with your check to
Steve Karas and Associates, 3341 E Turquoise, Phoenix, AZ. 85028
or you may Fax this order form to 602-494-9143

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