DIGITAL-DOC IMAGING ORDER FORM

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Send Form Via Mail To:

DIGITAL-DOC IMAGING
332 NE 5th St.
Grand Prairie, TX 75050

USA

or

email Tom for your order

Checks and Money Orders should be made out to TOM JONES.

Shipping Information:

Add $5 S/H for U.S. orders, $7.50 for Canada. For International shipping, please designate surface or air: Charges will be added.

If you want your order insured add: $0--$50....$.75 $100....$1.60  $200....$2.50 $300....$3.40 US orders only.

For International orders insured: Charges will be added. Not responsible for lost or damaged orders without insurance.

Subtotal

S/h

 Insurance

  Texas Resident's Tax

Total

Terms and Conditions: 

Checks or Money Orders must be drawn on US banks. VISA, MasterCard, Discover, welcome. International orders accepted-- preferably on credit cards.

 Name

 Address 1

 Address 2

 City

 State

Country

 Zip

  Email

 Day phone

 Home phone

CHARGE ORDERS CANNOT BE PROCESSED WITHOUT THE FOLLOWING:

 Required

 Name

Address 1

 Address 2

 City

 State

 Country

 Zip

 Email

 Day Phone

  Credit Card Type

 Cardholder Name

 Card Number

 Expiration Date