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| Facts
About Friction |
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: |
| Tel#: |
Zipcode: |
| Email: |
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| Order
Details |
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| _____ Copies of 'Facts
about Friction' @ US$ 249.95 each |
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Virginia USA residents only,
add 5.0% sales tax |
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TOTAL US$ |
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| We only ship to
addresses within the United States. Cost includes standard FedEx
Ground shipping. |
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| We do not
ship to International addresses. |
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| Payment
Details |
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| _____ Check enclosed (US$,
drawn on US branch) |
| _____ Bill my Credit Card: American
Express / MasterCard / VISA (please circle) |
| Acct#: ___ ___ ___ ___
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ |
| Expiration Date: ___ ___ / ___
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| Name on Card:
______________________________________________________________ |
| Signature:
__________________________________________________________________ |
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| Or
return this form, with payment to: |
| Gedoran
America Limited - P.O. Box 3431 - Winchester, Virginia 22604 |
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