Order Form

If you require more space, please attach a separate piece of paper. 

Product Number	Quantity	Price per	Total

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	       Sub Total	      ______

	     Tax (.06625)	      ______

Shipping $15.00/$35.00 for monitors            ______

	          Total	      ______

Please Make Checks or Money Orders		
Payable To:

	Zapiti PC Tech	

	1017 Hickory St		

	Fayetteville, AR 72703	

Shipping Information:

Name:	_____________________________________________

Address1:	_____________________________________________

Address2:	_____________________________________________

City:	_____________________________________________

State:	_______________	Zip:	______

Mail To: 
Zapiti PC Tech
1017 Hickory St
Fayetteville, AR
72703-1710