Order Form: SCV Systems
Name ________________________________
Street ______________________________
City/State/Zip ______________________
E-Mail address ______________________
I would like to order the following SCV products:
# Description Quantity Each Total
CB1 ClipBar _____ $12 _____
DY1 DayBrowser _____ $15 _____
DB1 Delphi CodeBar _____ $12 _____
D1 Dots! _____ $8 _____
MS1 MineScan _____ $8 _____
SS1 Sound Shadows 1 _____ $8 _____
SPT Space Tycoon _____ $15 _____
TY1 Stamp Tycoon _____ $14 _____
ST1 Stamp Wallpapers 1 _____ $7 _____
ST2 Stamp Wallpapers 2 _____ $7 _____
STB1 Stamp Wallpapers 1 & 2 _____ $12 _____
SC1 StarScan _____ $8 _____
SU1 Surreal Wallpapers 1 _____ $7 _____
SU2 Surreal Wallpapers 2 _____ $7 _____
SUB1 Surreal Wallpapers 1 & 2 _____ $12 _____
SU3 Surreal Wallpapers 3 _____ $7 _____
ZA1 Zip Advisor _____ $12 _____
Add $1 per unit for shipping & handling = _____
CA residents please add sales tax = _____
TOTAL = _____
Method of Payment:
____ Check ____ Money Order
____ VISA/MasterCard: Card # _____________________ Expires ______
Please mail to:
SCV Systems
2390 Crenshaw Blvd, Suite #802
Torranca CA 90501 USA
Or, to place a credit card order, call Toll Free 1-888-781-4021 .
All items will be shipped within two weeks of order.
Thanks!
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