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	6 Digit Manufacture's Number:
	5 Digit Product Number(s):
	Size of Bar Code(s):
	Film:	None Positive Negative
	Emulsion:	Up Down
	Number of Duplicates: ($3.50 per duplicate. Duplicates are important if printing overseas)
	Disk: ($1.00 disk charge)	None IBM Mac
	Printing Method:	Litho Flexo
	Program Imported to: (all files will be produced in EPS format)	Adobe Corel Quark Aldus Other Specify Other:

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	Company Name:
	Company Address:
	Additional Address:
	City/State/Zip:
	Phone:
	EMail:
	Contact Name:

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	Shipping Address: Drop ship $1.50
	Additional Address:
	City/State/Zip:
	Shipping Instructions:	E-Mail First Class Mail Priority Mail Airborne Priority Airborne Standard Fed X Priority Fed X Standard Fed X Second Day UPS Red UPS Blue UPS Select UPS Ground Your Modem Other Specify Other:
	Your Modem or e-mail Address:
	Contact Name:

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Prices: 1-9 codes $10.75 each; 10-25 codes $9.50 each; call for quantity discounts. Terms are available upon approval of credit after first order.

	Master card
	Visa
	Card Number:
	Expiration Date:
	Card Holder:

We Accept Visa and Master Charge

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