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  1.                       VISTON SYSTEMS, INC.
  2.                        2217 Johnstown Road
  3.                    Chesapeake, VA. 23322-2742
  4.                          (804) 421-4345
  5.  
  6.                          dBFX ORDER FORM
  7.  
  8.      Ship to:
  9.  
  10.           Name:     ___________________________________
  11.  
  12.           Company:  ___________________________________
  13.  
  14.           Address:  ___________________________________
  15.  
  16.                     ___________________________________
  17.  
  18.           City:     ___________________________________
  19.  
  20.           State:    ________       Zip: _______________
  21.  
  22.  
  23. |             Description                    | Each  |Qty| Total|
  24. |--------------------------------------------|-------|---|------|
  25. |dBFX, Programmer's Guide, Home Video Tracker| 25.00 |   |      |
  26. |--------------------------------------------|-------|---|------|
  27. |     Sales Tax (Virginia Orders)            |  1.13 |   |      |
  28. |--------------------------------------------|-------|---|------|
  29. |     Shipping & Handling (U.S.)*            |  2.00 |   |      |
  30. |--------------------------------------------|-------|---|------|
  31. |          TOTAL                             | ----- |   |      |
  32. |--------------------------------------------|-------|---|------|
  33.  
  34.  
  35. |             Description                    | Each  |Qty| Total|
  36. |--------------------------------------------|-------|---|------|
  37. |dBFX Source Listings                        | 25.00 |   |      |
  38. |--------------------------------------------|-------|---|------|
  39. |     Sales Tax (Virginia Orders)            |  1.13 |   |      |
  40. |--------------------------------------------|-------|---|------|
  41. |     Shipping & Handling (U.S.)*            |  3.00 |   |      |
  42. |--------------------------------------------|-------|---|------|
  43. |          TOTAL                             | ----- |   |      |
  44. |--------------------------------------------|-------|---|------|
  45.  
  46.       * Please call or write for foreign shipping charges.
  47.  
  48.          Media desired:     5.25" _____     3.25" _____
  49.  
  50.    Please call or write for multiple installation quotations.
  51.  
  52.         -------------------------------------------------
  53.          T H A N K   Y O U   F O R   Y O U R   O R D E R
  54.         -------------------------------------------------
  55.