Print            and Fax to 218-346-7924                        or mail to:    Back Issues
                                                                                                             Val-Tech Media
 Credit Card Phone Ordering: Call 218-346-7921                            P.O. Box 394                                                                                                                Perham, MN 56573-0394                                                       Ship to:

Name___________________________________________________   

Address________________________________________________   

City________________________ State_______ Zip________ Country____________________   

Payment Information:
Check Enclosed
Make checks payable to: Val-Tech Media          

Credit Card Ordering - Card Holder Info
VISA  or  MasterCard

Card Number _______________________________________

Exp. Date______________

Credit Card Holder if different from above:

Name________________________________________________   

Address_____________________________________________   

City________________________ State_______ Zip________ Country____________________

    Volume   |  Number  |Quantity |$5.00 each |    Total|
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             |          |         |           |         |
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                                 Subtotal     |         |
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   MN residents please add 6.5% sales tax     |         |
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 Foreign orders please add $4.00 per copy     |         |
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    U.S. Funds Only                 TOTAL     |         |
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