Just choose Print Frame from the File Menu to print out the form shown below,
then fill it out and send it to the address shown at the top.


CORPORATE OFFICE
609 N. 4th Avenue  -  Tucson, AZ  85705  -  Phone: (520) 624-8775  -  Fax: (520) 798-3117

NAME OF CORPORATION: __________________________________

ADDRESS TO SEND INVOICE: __________________________________

                                                       __________________________________

                                                       __________________________________

CONTACT PERSON: __________________________________

PHONE NUMBER: __________________________________

NAME OF INDIVIDUALS WHO MAY ORDER ON ACCOUNT:

__________________________________

__________________________________

__________________________________

CREDIT REFERENCES:

(1)NAME: ______________________________ PHONE: _____________

ADDRESS: ______________________________________________

(2)NAME: ______________________________ PHONE: _____________

ADDRESS: ______________________________________________

(3)NAME: ______________________________ PHONE: _____________

ADDRESS: ______________________________________________

ACCOUNT LIMIT (IF ANY): __________________________________
 
 

AUTHORIZED SIGNATURE: ______________________________

DATE: ______________________