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ORDER FORM Please complete and fax this Order Form to: +1-302-691-4647 or +1-202-318-0323 Attn: Antenna House, Inc. • 3844 Kennett Pike • Suite 200 • Greenville, Delaware 19807, USA 1. Customer and Shipping Information. 2. Order Description. Amount. Qty. Rate. Product Description.

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  1. ORDER FORM Please complete and fax this Order Form to: +1-302-691-4647 or +1-202-318-0323 Attn: Antenna House, Inc. • 3844 Kennett Pike • Suite 200 • Greenville, Delaware 19807, USA 1. Customer and Shipping Information 2. Order Description Amount Qty Rate Product Description EDUCATIONAL INSTITUTION Rainbow PDF Server Based Converter Selectyouroperatingsystem: $2000.00 ea WindowsSolarisLinux $300.00ea TotalUS$ MaintenanceAgreement 3. Payment Information – Select a payment method from one of the following. Bank Transfer Purchase Order/Corporate Check Payment is due within 30 days of receipt of order. Antenna House fulfills all orders electronically within two business days. Once the order has been fulfilled we will send an invoice and payment instructions. Payment can be made via US dollar check or wire transfer to Antenna House's USA Bank. Credit Card

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