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© 2007 Service Roundtable

 

 

 

 

Michel Rants Order Form

Fax To:       817.796.2773

Mail To:      Service Roundtable

                  P.O. Box 270842

                  Flower Mound, TX  75027-0842

Name:

 

 

Company:

 

 

 

Shipping Address:

 

 

 

 

 

 

 

 

 

 

 

Payment by:   ¨ Check    ¨ Money Order    ¨ Visa    ¨ Mastercard    ¨ American Express

Number of Copies....................................................................................

 

+ Shipping & Handling.........................................................................................

$4.50

= Subtotal..............................................................................................

 

+ Sales Tax For Texas Residents (Subtotal X 7.25%).....................................

 

= Final Payment......................................................................................

 

Card Number:

 

 

 

Expiration: