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DSF Plan
"Order Form"
Brown bar line separator
Paying by check? Simply print out and send this order form with your check (in U.S. dollars drawn on a U.S. bank), payable to:

DSF Plan
P.O. Box 000
Somewhere, CA 00000

Customer information is considered confidential and will not be shared with or distributed to any third party.
Prices are in US dollars and are guaranteed through July 2003.

Number of Copies ______ at $12 each = _________
California residents add 7.25% sales tax + _________
Total payment US$ = _________
Name: ____________________ Date: __________

Organization:______________________________

Shipping Address:__________________________

                 __________________________

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Daytime Phone:_______________________

E-mail: _____________________________

How did you hear about DSF Plan?
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Comments:__________________________________
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