Hove Office Equipment
                  Mail Order Form
 
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  Mail To:  Hove Office Equipment
                  1405 Old West Main Street
                  Red Wing, MN 55066
 
        Shipping Information
 
   Ship To Name:______________________________________________
   Ship To Address:____________________________________________
   City:________________________  State or Province:___________________
   Country:_____________________  Zip or Postal Code:__________________
   Daytime Phone:_______________  E-Mail Address:_____________________
 
                       Payment Method
Money Order: (USA Postal Or USA Bank) :___________
 
Check:(USA Bank):___________     (May require additional process time)
 
                       Order Information
 
Machine Model and Type (Example Canon BJC-620) :_______________________
 
   
 |                  Item Description            |    Item No: |   Qty     | Price        |  Total           | 
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
 |_____________________________|__________|_______|_________|___________|
                                                                                 Total for all Items   |___________|
                                                                            Add 6.5% Sales Tax    |___________|
                                                                                 Shipping($3.50)       |___________|
                                                                                   Order Total           |___________|
                      Special Instructions
   ___________________________________________________________________
  |___________________________________________________________________|
  |___________________________________________________________________|