Buying From Us
Order Form
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Please
print this order form, fill in and post or fax
to: 203 221 2698
Crick Software Inc,
191 Post Road West, Westport, CT 06880 |
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TOTAL
$US Dollar
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*Sales
Tax: Connecticut 6.0% and Washington 8.9%
**Shipping and handling: Online orders for USA & Canada.
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Sub
Total
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Sales
Tax*
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Shipping**
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Total
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| Payment
method |
 Purchase
Order |
Purchase
Order or Card
No:
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| Credit
Card |
Card
type: |
| Expiration
Date: |
Authorizing
Signature:
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| Personal
Details |
| Sold
to: |
Ship
to: |
| Name: |
Name: |
| Organization: |
Organization: |
| Address: |
Address: |
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| State: |
State: |
| Zip: |
Zip: |
| Telephone: |
Telephone: |
| Email: |
Email: |
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North America | UK/International