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ORDER FORM for EOS Customers

Please print out this form. Fill it out. Fax or mail to:

InfoWorks Technology Company
P.O. Box 2261
Cranberry Township, PA 16066
FAX (412) 635-9218
Phone (412) 635-9224

Item

Qty

Cost

Total

Paper Label (check one: sp1/sp2; sl4; sl6; slb; spa; slb2) (for 10 or more pkg.)

 

US$34

 

Paper Label (check one: sp1/sp2; sl4; sl6; slb; spa; slb2) (for 7-9 pkg.)

 

US$36

 

Paper Label (check one: sp1/sp2; sl4; sl6; slb; spa; slb2) (for 4-6 pkg.)

 

US$38

 

Paper Label (check one: sp1/sp2; sl4; sl6; slb; spa; slb2) (for 1-3 pkg.)

 

US$49

 

Polyester Label (check one: sp1/sp2; sl4; sl6; slb; spa; slb2)   US$95  
Foil-Backed Label (check one: sp1/sp2-f2; sp1/sp2-f3)   US$79  
Opaque Label (check one: slb)   US$79  

Shipping & handling in US: $10 for 1-4 pkg. $20 for 5-9 pkg. $30 for 10-19 pkg. $35 for 20 & more pkg.   
Shipping & handling in Canada: $17 for 1-3 pkg. $30 for 4-9 pkg. $40 for 10-14 pkg. $45 for 15-20 pkg.   
Shipping & handling in other countries vary    

 

Total (US$)

 


Shipping and billing information:

Name __________________  Phone _________________  Email ______________________

Ship to

__________________________

 Bill to

_____________________________

Address

__________________________

 Address

_____________________________

__________________________

_____________________________

City

__________________________

 City

_____________________________

State

_____  Zip Code ____________

 State

______  Zip Code _____________


Please check one of the following ways of payment:

___ Bill Us:  P.O. #_______________

___ Prepaid Check enclosed (Payable to InfoWorks Technology Company

                          
Authorized Signature/Date ________________________________

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