PTRA PT Reference Sheets Order Form by coryelJudie

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									        PTRA PT REFERENCE SHEETS
        ORDER FORM

Please send me _____ packet(s) of 100 PTRA PT Reference Sheets at $35.00
per packet, plus $3.50 per packet shipping. Orders of 10 to 49 packets receive
10% discount. Orders of 50 to 99 packets receive 15% discount. Orders of
100+ packets receive 20% discount.

_____ Check enclosed for $ __________

_____ Charge my credit card $ __________
       MasterCard r         Visa r         AmEx r
       Name on Card___________________________________________

       Card Number____________________________________________

       Expiration Date_______________________


Ship Reference Sheets to:

Name________________________________________________________

Company_____________________________________________________

Address______________________________________________________

City/St/Zip____________________________________________________

Phone (_____)________________ Fax (_____)________________

Email__________________________________________________


                 FAX THIS FORM TO 817/561-7275
     OR MAIL TO PTRA, P.O. BOX 150229, ARLINGTON, TX 76015

								
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