Order Form

 

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$19.95  
(Arizona Residents add $1.36 sales tax $21.31 total)

 Your Name:  
 Company:  
 Address:
(Must Match credit card Billing address)
 
 City  
 State/Province  
 Zip Code:  
 Email Address:
(conformation will be emailed back)
 
 Web Address:
(Http://www.Your site.com)
 
 Phone Number:
 
 Fax Number:
 

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  Search Engine             Registration     $19.95

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Credit Card Orders

Payment Information:

Credit Card:

Credit Card Number:

Expiration Date:

The Charge Will appear on your Credit card Statement as
Steve Karas and Associates


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Fax Order
To order by fax Print this order form and fax it to 602-494-9134


Mail Order
Print this order form and Mail it along with your check to
Steve Karas and Associates, 3341 E Turquoise, Phoenix, Az.  85028


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