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ORDER FORM
NOTE: ALL ORDERS MUST BE MAILED OR FAXED


YOUR NAME__________________________________________________________

COMPANY____________________________________________________________

ADDRESS____________________________________________________________

_____________________________________________________________________

FAX NO.______________________TELEPHONE NO._________________________

For PAL or SECAM (international electrical formats) please add $40.00 per video and SPECIFY ELECTRICAL FORMAT. NOTE: SOME SELECTIONS INCLUDE MORE THAN ONE VIDEO. All videos will be shipped in NTSC electrical format (U.S. standard) unless otherwise specified.

ALL VIDEOS ARE STANDARD TYPE "VHS"
Please send to me the following videos or booklets:

Form is an image...
Form is an image...

___Check has been mailed, ___Check is enclosed
(Payment must be recieved before orders are shipped.)

MAIL OR FAX ORDER TO:
INTERNATIONAL PRODUCTIVITY CENTER
912 SOUTH QUARTER RD.
RUSSELL, MASSACHUSETTS 01071
USA

TEL. (413) 568-5797 FAX (413) 572-1042


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