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     Processing Instructions      

  Please print this form & mail with payment to the following address.  

Denny's Outlet , 700 S. Main, Three River, MI.  49093

1-616-273-1442, e-mail: dennysoutlet@hotmail.com 

Please make a copy for your records before mailing your products.

NAME:        ____________________________________

ADDRESS:    ____________________________________

                   ____________________________________

CITY, STATE:   ___________________________________

ZIP CODE:   _________________

E-MAIL ADDRESS:   ________________________________

PHONE #:  ____________________________

QUANTITY OF CD'S SENDING FOR REPAIRS:  ________

@ WHAT COST PER CD, EQUALS =   $  ______

UPS SHIPPING & HANDLING CHARGES:  $_______

TOTAL AMOUNT ENCLOSED WITH SHIPMENT:  $__________

Credit card # :   ___________________________________

Expiration date:  _____________, Card Type: ______________

Cardholders signature:   ______________________________

Cardholders Printed Name:   _____________________________________

We have approximate 48 hours turn around upon receipt of your cd's on orders of all credit cards, casher checks, & money orders. All business & personal check processing will be after check clears the bank.

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Webmaster,  Clazzy "D"  Copyright 2000 Denny's Outlet, Last modified: July 20, 2000