Internet ReportCenter Order Form

To place an order for any of the Internet ReportCenter Reports, please fill in the information below, print out this page and mail the order form along with a check or money order payable to YOUR BUSINESS NAME HERE.

Mail this order form and remittance to:

YOUR BUSINESS NAME HERE
YOUR BUSINESS ADDRESS HERE
YOUR CITY, STATE & ZIP HERE

If you have any questions about your order, you can reach us via e-mail at yourname@youremailaddress.com

You can also reach us by phone at (123)456-7890

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
ITEM NO QTY DESCRIPTION

TOTAL QTY

Pricing (Min. Order $10.00)

$3.00 each when you order 1-4
$2.50 each when you order 5-9
$2.00 each when you order 10-19
$1.50 each when you order 20 or more

PRICE

AMT DUE

Thank You For Your Order 

 

Copyright 1998, Orbis Business Services.
Last revised: June 05, 2005
Site designed and hosted by OrbisNet Online, http://www.orbisnet.com

 

 

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Last modified: August 05, 2007