Use The Mail-In Order Form Below To Pay By Check

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Printer: Print out this order form page and complete.
No Printer: Copy the information on a blank piece of paper.

Payment Method: Money Order or Personal Check

You have ordered: 1 (one) Dish Wireless WebTV Keyboard

Product price    .....................     19.95   Product s + h    .....................       5.95   Total price        .....................   $ 25.90

~~ ORDER FORM (please print clearly) ~~ Name:_________________________________________ E-Mail:________________________________________ Street Address:_________________________________ _______________________________________________ City/State/Zip Code:______________________________ _______________________________________________ Send Amount Due ( $ 25.90 ) To: ~~~ WILLIAM STEELE 19 Ballard St. Suite G Easthampton, Ma. 01027

Make checks payable to: WILLIAM STEELE ~ Thank You For Ordering!
(please write your phone number on your check)
Note: Save $1... Deduct $1 If You Pay By MONEY ORDER
(no deduction for using a personal check)