Please print this form, complete all fields below, and be sure to enclose Cash, Check*, or Money Order in the proper amount payable to Simurgh Prime.
Mail to:
Simurgh Prime
259 Kiefer Drive
Dept. W
Montgomery, AL 36109
Please Print Clearly
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Name |
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Address |
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City, State ZIP |
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Phone |
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Email Address |
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Series |
Description |
Suggested Retail Price |
OUR PRICE! |
Check (X) |
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1000
Series |
Business Report Collection 1 |
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$20 |
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1500
Series |
Health and Welfare Report Collection |
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$10 |
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2000
Series |
Business Report Collection 2 |
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$20 |
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All Three Series |
Order all three series and Save 40% |
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$30 |
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Please Circle One |
Media |
Shipping |
Price |
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Option 1 |
3.5" Floppy Disk |
US Mail |
$1.00 |
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Option 2 |
3.5" Floppy Disk |
Federal Express |
$9.00 |
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Option 3 |
Electronic Mail |
N/A |
N/A |
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Verify Email Address |
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Total |
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Make your Check or Money Order payable to Simurgh Prime.
Please allow 10 to 14 days for
delivery of US Mail.
*Orders paid by check will be shipped the day your check clears. We apologize for any inconvenience, but everyone is not as honest as you and me. ;-)
THANK YOU FOR YOUR ORDER!