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Order Form

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HITS.NET Service Order Form

This document is an order form for services.

The following information is for the billing party, and must be the same as the information found on the credit card.
First Name MI
Last Name
Company Name
Address
City
State/Province
Postal Code
Country
Phone
Fax
Email Address
Payment Options
Credit Card Number
Name on Card
Expiration Date  / 

Ship products to the billing address given above

...or...

First Name MI
Last Name
Company Name
Address
City
State/Province
Postal Code
Country
Phone
Fax
Email Address

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This document maintained by Webmaster@HITS.net.
Material Copyright © 2003 One Net, Inc.