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Account Name ______________________________
Contact Name ______________________________
Phone ___________________ Ext ___________ Fax ___________________
PO# _______________________
Payment Type: [ ] On Account [ ] COD
[ ] Credit Card#_______________________Exp ______
Shipping Address _________________________________________
______________________________________________________
______________________________________________________
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Quantity
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EA/DZ/CS
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Item Number
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Description
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Price
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Palace Art &
Office Supply • Commercial Sales • 2606 Chanticleer Ave., Santa Cruz, CA 95065
(831) 476-3815 / Fax (831) 476-4036 or Toll Free (888) 637-5373 / Fax (888)
637-0246