Ships Of The Great Lakes
Screensaver Retail
Store/Retail name_____________________________________________ Contact name____________________________________________ Shipping Address_________________________________________ _______________________________________________________ 25 ct Countertop displays ______x $99.75 = __________ 25 ct Refill (no display box)_____x $96.00 = __________ 100 ct bulk (no display box)_____x $375.00= __________ Total= __________ U. S. funds payable to "Great Lakes Digital
Imaging" Personal check payments may not be shipped until check clears.
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