280 Newspaper Information Order Form
Just print this form out and mail it to us at:
JennTech, Inc.
PO Box 533,
Exeter, RI 02822
Or Credit Card Orders FAX To 401-294-7981
Name_______________________________________________________
Street_____________________________________________________
City_______________________________________________________
State__________________ Zip_____________________
Method of Payment: Please send $19.95
Cash___________
Check__________
Money Order_____________
Visa__________
Master Card__________
Account Number____________________________________
Exp. Date___________________
Signature __________________________________________
Note: Name and address on card MUST be the same as buyer name above.
Optional Information:
Email address_______________________________________________________
How did you hear about us?
__________________________________________________________________
Thank you for your purchase. Your order will be sent to you FIRST CLASS MAIL at
no extra charge. Please make checks payable to: JennTech, Inc.
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Email us at: Admin@jenntech.com