TECHNICAL TRAINING ASSOCIATES

 The Appliance Service Flat Rate Solution Order Form

COMPANY NAME ____________________________________________________

STREET ADDRESS __________________________________________________

CITY _________________________________ STATE _______ ZIP____________

Phone __________________________ FAX_______________________________

Please Send.......    Qty_____ CD $130 ea......Total Price $________   

Check, Money Order, Visa or MasterCard Accepted.

CREDIT CARD INFORMATION:

___ Visa      ____MasterCard

CARD # _________________________________________EXP. DATE _____________

Send This Form With Payment To:

Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629

Credit Card Orders May Be Faxed To 520-648-3334

Call 520-625-6847 To Order By Phone.