FAX

InaBind Supplies Order Form

To: InaBind From:
Fax: 1-800-655-2464 Company:
Phone: 1-800-655-2463 Date:
Re: Sales Order Pages:


P.O. #: Date Needed:
Customer pick up: YES/NO (circle YES or NO)
We ship/deliver: YES/NO (circle YES or NO) 		Method of payment: (for credit card payment, enter name, credit card #, expiration date)
Item Nr (if known) Qty Unit (ea./box/pkg) Description/size/color (include name of system for which you need the supplies, e.g. binderstrips for Fastback 15xs)
       
       
       
       
       
       
       

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