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<TITLE>The Cultural Knowledge Newsletter - On-Line Ordering</TITLE>
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<CENTER><img src="ck.gif"><br><IMG SRC="cktitle.gif"   alt="Cultural Knowledge"><br></CENTER>
<center><h1>ON-LINE ORDERING</h1></center>
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<center><font size=2>[<a href="index.html">HOME</a>][<a href="cstory.html">COVER STORY</a>][<a href="classif.html">CLASSIFIED</a>][<a href="bushigh.html">BUSINESS HIGHLIGHTS</A>]<BR>
[<a href="speakb.html">CONSULTANTS/SPEAKERS</a>][<a href="cnotes.html">HISTORY MAKERS</a>][<a href="cevents.html">CULTURAL EVENTS</a>]</font></center>
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<p>Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly.  If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: <a href="mailto:websales@azdbs.com">Websales@AZDBS.com</a>.
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<font size="4">DIVERSIFIED BUSINESS STRATEGIES, INC.</FONT><br>
71 W. Jacinto St.<br>
TUCSON, AZ 85705<br>
(520) 620-0900<br>



<form  ACTION="/cgi-bin/reply.pl" METHOD="POST">
<INPUT TYPE="HIDDEN" NAME="REQUIRED" VALUE="Email Name ">
<INPUT TYPE="HIDDEN" NAME="REPLY" VALUE="http://iwhome.com/cknowledge/orderreply.html">
<INPUT TYPE="HIDDEN" NAME="PLEASE" VALUE="http://iwhome.com/cknowledge/please.html">
<INPUT TYPE="HIDDEN" NAME="SENDTO" VALUE="websales@azdbs.com">
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Name: (required) <Input size=30 name="Name"><br>
Address: <Input size=45 name="Address"><br>
City: <input size=10 name="City"> State: <input size=2 name="State"> Zip: <input size=10 name="Zip"><br>
Phone: <input size=15 name="Phone"> &nbsp;&nbsp;Fax: <input size=15 name="Fax"><br>
Email: (required) <input size=37 name="Email"><br>
<br>Date: <input size=9 name="date"><p>
 

<table border=6 cellpadding=8 width=480 bgcolor="#00D0CE">
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<td align=center>ITEM</td>
<td align=center>PRICE</td>
<td align=center>QTY</td>
<td align=center>TOTAL</td>
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<td><center><Input size=25 name="item1"></center></td>
<td><center><Input size=7 name="price1"></center></td>
<td><center><Input size=3 name="qty1"></center></td>
<td><center><Input size=7 name="total1"></center></td>
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<td><center><Input size=25 name="item2"></center></td>
<td><center><Input size=7 name="price2"></center></td>
<td><center><Input size=3 name="qty2"></center></td>
<td><center><Input size=7 name="total2"></center></td>
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<td><center><Input size=25 name="item3"></center></td>
<td><center><Input size=7 name="price3"></center></td>
<td><center><Input size=3 name="qty3"></center></td>
<td><center><Input size=7 name="total3"></center></td>
</tr>
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<td><center><Input size=25 name="item4"></center></td>
<td><center><Input size=7 name="price4"></center></td>
<td><center><Input size=3 name="qty4"></center></td>
<td><center><Input size=7 name="total4"></center></td>
</tr>
<tr>
<td><center><Input size=25 name="item5"></center></td>
<td><center><Input size=7 name="price5"></center></td>
<td><center><Input size=3 name="qty5"></center></td>
<td><center><Input size=7 name="total5"></center></td>
</tr>
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<table border=6 cellpadding=8 bgcolor="#00D0CE">
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<td><center>GRAND TOTAL <Input size=7 name="grandtotal"></center></td><p>
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<td align=center><PRE>
SHIPPING AND HANDLING COST<BR>
1-5 $15.00<br>
6+ &nbsp;$25.00<br>
COD	$ 4.75<BR>
PRIORITY SERVICE UPON REQUEST</PRE></td>
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<center>PRICES SUBJECT TO CHANGE ACCORDING TO AVAILABILITY</center><p>
Please send Check or Money Order for the total amount to:<br><p>
<font size="4">DIVERSIFIED BUSINESS STRATEGIES, INC.</FONT><br>
71 W. Jacinto St.<br>
TUCSON, AZ 85705<br>
(520) 620-0900<br>



        <p><center><INPUT TYPE="submit" VALUE="ORDER"> <INPUT TYPE="reset" VALUE="CLEAR"> </center>
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<center><font size=2>[<a href="index.html">HOME</a>][<a href="cstory.html">COVER STORY</a>][<a href="classif.html">CLASSIFIED</a>][<a href="bushigh.html">BUSINESS HIGHLIGHTS</A>]<br>
[<a href="speakb.html">CONSULTANTS/SPEAKERS</a>][<a href="cnotes.html">HISTORY MAKERS</a>][<a href="cevents.html">CULTURAL EVENTS</a>]</font></CENTER>

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