Brady XL3000 Manual do Utilizador Página 2

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Fax Pages 1 & 2 to 772-223-4040
Business Name_______________________________________________
Your Name: _________________________________________
Email address __________________________________________ Would you prefer your invoice E mailed? ________
Shipping Address: _____________________________________________
Shipping Address 2: ____________________________________________
City: ___________________ State : ___________________ Zip Code: _______________
Phone with area code: _______________________ Ext _______ Fax w/ area code___________________________
Payment: Credit Card Visa, MasterCard or American Express
Card # ___________________________________________ Expiration: ___________________
Complete name or names on the card ________________________________________________________________
Card Code (3 digit on back of Visa or MC or, 4 digit on front of Amex) _______________
If using PO# :___________________________________ Schools, Government or Pre Approved only
Billing address if DIFFERENT
Business Name_______________________________________________
Contact Name: __________________________________________________
Billing Address: ______________________________________________
Billing Address 2: ____________________________________________
City: ___________________, State : ___________________ Zip Code: ________________
Phone with area code: ____________________________ Fax with area code________________________________
Fax pages 1 & 2 to 772-223-4040 Call us with questions 800-321-5716
Notes, Comments or Questions:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Order Form Page 2
Please Note: Please note Direct Thermal DTP
poster paper cannot be heat laminated
.
Has your place of business
ordered from us before?
___Yes ___ No
Please Circle the model printer you own: Variquest®
Poster Maker 3600, ProImage® - ProImage® Plus - ProI-
mage® XL - Plus 3000 - XL 3000 - PosterPrinter™ -
PosterPrinter Plus - Fuji Pro 36 Color - 2000P -
Lanier 4100 - Minnesota Western Chart Pro - Minnesota
Western Chart Pro Plus -
P.O. Box 2472, Palm City, FL 34991
Local & International 772-223-5511
800-321-5716 Fax 772-223-4040
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