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Graymark Int.
INTERNATIONAL, INC.
Box 2015, Tustin, CA 92781
800-854-7393
Order Form
Fill in ALL information.

Date:____________

NAME:
SCHOOL:
Fill in only if delivery is to school address
ADDRESS:
CITY: STATE: ZIP:
E-MAIL:
YOUR PHONE: ()

Method of Payment:
Check Money Order Open Account Credit Card
Exp. Date: Card Number:

Signature:_____________________________
(For printed and mailed orders only)


  MODEL QTY LIST
PRICE EA.
DESCRIPTION LIST
TOTAL
C
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Call for:

Custom Rush

Non-
Computer
Products
List Total A
Less Discount B
Net Total (A-B) C
Computer Products Total D
Order Sub-Total (C+D) E
7.75% Sales Tax on Sub-Total
(California Customers Only)
F
Standard Shipping & Handling
48 States: $7.00 Min, Call for exact amnt
AK, HI & Foreign: Call for exact amnt.
G
CustomRush Delivery Service
Call for exact amount
H
TOTAL AMOUNT (E+F+G+H) I

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