Great Hill Corporation
Calendars for the Web™ - PC Version
Order Form
| Please mail this form to: Great Hill Corporation, 1142 Stony Lane, Gladwyne, PA 19035 or FAX it to (610) 519-9440. Complete all fields. |
| Indentification | |
| Full Name | |
| Company Name | |
| Mailing Address | |
| Shipping Address (if different) |
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| Phone Number | |
| E-Mail Address | |
| Credit Card Info | |
| Full Name on Card (if different) |
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| Billing Address of Card (if different) |
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| Card Type (circle one) |
AMEX | VISA | Master Card | Discover |
| Card Number | |
| Expiration Date | |
| Product Choice | |||
| License Option | Number of Copies | Unit Price | Extended Price |
| Basic | 1 | $49.95 | |
| Additional Copies | $29.95 | ||
| GIF Option | $10.00 | ||
| CD-ROM Option | $10.00 + $6.50 s/h | ||
| PA State Sales Tax (add 6% if you live in PA) |
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| Calculate Total | |||