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Purchase Information and Order Form Simple Bookkeeping for Beanbag Collectors One-Year Subscription is $30.00. Please print out this page, fill it in, and then mail or fax it to: Maida Belove SimSys, Inc. 1370 Bailey Avenue Eugene, OR 97402 541-431-0534 Voice/FaxDate: _________________ Name: _______________________________________________________________ Address: ____________________________________________________________ City: _______________________________ State: _____ Zip: ___________ Phone Number: _______________________ E-mail: ______________________ Total: $ 30.00 Form of payment: __ Check __ Money Order __ Visa __ MasterCard Card Number: _____________________________ Exp. Date: ______________ Authorized Signature: _______________________________________________ Comments: ___________________________________________________________ |