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CD-ROM Order Form FORMI would like to order a CD-ROM with Blacksmith's Gazette issues:NEW DVD with NEW pricing coming soon!______ CD-ROM with issues from _______ Year (1999 to 2006) Price is $25.00 per year
Name:____________________________________________________________ ____ Address:_________________________________________________________ _____ City: __________________________________, State
_______ZIP_______________ E-Mail Address:
_________________________________________________________ Print out , fill in, and mail this form, along with your check, cash, money order or Charge Card data (use form below) to:
We accept Visa and MasterCard for CD-ROM's. To use your charge card fill in the data below.
Yes, I want to use my Charge Card:I have a (Visa or MasterCard), please circle one. My Card Number is:___________________________________________________ The Name on My Card is: _______________________________________________ The Expiration Date is: __________________________________________________ By Signing below, I authorize you to charge my subscription to the above charge card. Signature: _____________________________________________________________
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