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ifriction.com - Advertising

2009 - 2010 SPECIAL OFFER ORDER FORM

PLEASE PRINT THIS FORM AND FAX TO: +1 540 723 6628

Company Details 

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Name:

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Position: Department:
Company:

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Address:

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City: State:
Country: Postcode:
Tel#: Fax:
Email:

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Web Site:

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Advertising Rate
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______ SPECIAL OFFER - US$ 495 *   ( Regular Annual Rate $595  -  a $100 savings !!! )
. Advertise your company on ifriction.com through 31st December 2010
. * Discount offer expires 15th December 2009
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Payment Details
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______ Purchase order (please attach official company purchase order)
______ Check enclosed (issued to 'Gedoran America Limited' in US$, drawn on US branch)
______ Bill my Credit Card:
. American Express  /  MasterCard  /  VISA   (please circle)
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Acct#: ___ ___ ___ ___  ___ ___ ___ ___  ___ ___ ___ ___  ___ ___ ___ ___
Expiration Date: ___ ___  /  ___ ___
Name on Card: __________________________________________________
Signature: _________________________________________

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Fax form to: +1 (540) 723-6628, or mail, with payment to:
Gedoran America Limited
P.O. Box 3431
Winchester, Virginia 22604
Tel#: +1 540.247.1501

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