| Ship To:______________________________ | Bill To:______________________________ |
| Attn:_________________________________ | ___________________________________ |
| Street:_______________________________ | Street:______________________________ |
| City:_________________________________ | City:_______________________________ |
| State:_________________Zip_____________ | State:_________________Zip___________ |
| BILLING INFORMATION |
| M/C_____ VISA_____ Check Enclosed_____ Bill School (P.O.# req'd)_____ |
| Credit Card Number__________________________________________Expiration Date:______________ |
| Your name as it appears on card_________________________________Billing Zip Code______________ |
| Signature_____________________________________________________________________________ |
| Quantity | Stock No. | Item Description | Price | Total |
| SATCO PAYS
SHIPPING ON ORDERS OVER $100.00* ORDERS LESS THAN $100.00 ADD 15% FOR DELIVERY CHARGES* MINIMUM DELIVERY CHARGE = $5.00 *DOES NOT INCLUDE HAWAII & ALASKA |
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