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name on order
your name:   (first last)
company name:  

shipping address
address 1:  
address 2:  
address 3:  

city:

  
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shipping options:  

billing address
   

check box if same as shipping address

address 1:  
address 2:  
address 3:  

city:

  
state:  
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contact information
phone number:   (xxx-xxx-xxxx)
fax number:   (xxx-xxx-xxxx)
e-mail address:  

(name@domain.com)

best form of confirming order:  

plastic spiral bindings
quantity* diameter
(in inches)		 length in inches
(add an inch to length of book) 		hole spacing color
{available colors}

additional comments or instructions
 
* Standard orders are priced as sets of one thousand spirals of twelve inches in length, or equivalent. Credit history must be established with Pel Corporation to process your order. Contact us to begin your account.

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3200 Kashiwa Street Torrance, CA. 90505 (USA) Web site: http://www.pel-spiral.com E-mail: info@pel-spiral.com
Telephone: 1.800.531.7145 Fax: 1.310.530.9276 Outside the United States dial: 1.310.530.7145
 Business hours: 7:00 A.M. - 3:30 P.M., P.S.T Monday-Friday
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