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Nitride
101 Order Form
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Please fill in the information below and mail or fax this to the address at the bottom of the form |
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Company
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______________________________
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Attn
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______________________________
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Address
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Address
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City
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State/Province
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Zip/Postal Code
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Country
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Tel
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Fax
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Email
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Tape Format
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___ NTSC (US Standard) $125 ___
PAL $145
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Payment Type
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__ Visa __ Mastercard __ Check (# ________ ) | ||||
| If credit card, full name as it appears on credit card: | ______________________________ | ||||
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Credit Card Number
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______________________________
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Expiration Date
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___/____ (mm/yy)
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Cost of the complete video is $125, including
shipping in the US.
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