MAILING LISTS ORDER FORM

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_______One-across pressure-sensitive (peel & stick) labels

_______Four-across Cheshire (paper) labels (for affixing by machine)

________ Date    Merge Lists  $25 ______Disk $25  Format:____________
List(s) Rental Total: ________________
Shipping: U.S.$5   Canada: $8   Foreign: $15 Shipping: ________________
Washington residents add 7.6% Tax  ________ Total: ________________
Check________           VISA/MC/Discover_________

Acct.#_________________________________________________Exp:__________________

Signature:____________________________________________________________________

Name:_______________________________________________Phone:__________________

Company:_____________________________________________FAX:___________________

Address:_____________________________________________________________________

City/State/Zip+4:______________________________________________________________

TWIN PEAKS PRESS
Since 1982
P.O. Box 129
Vancouver, WA 98666-0129
(360)694-2462
(800) 637-2256 24 Hours (U.S. &Canada
24-hour fax (360)696-3210
e-mail: twinpeak@pacifier.com