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American International Consultants 445C East Cheyenne Mountain Blvd. #334 Colorado Springs, CO 80906 800-778-8577 FAX 719-576-2790
Internet: http://www.bizforms.com
E-mail: bizforms@adelphia.net |
| Order Form - Year End Payroll Tax Forms |
| Description | Item # | Quantity | Amount |
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| Add Up The Forms Prices | ******** | Forms Total | |
Deduct 20% August - December OR Deduct 10% January - July | ******** | 20% Discount or 10% Discount | |
| Subtract Your Discount & Subtotal | ******** |
Subtotal | |
CO Businesses Only: 2.9% or 7.4% (El Paso County) | ******** | CO Sales Tax 2.9% or 7.4% | |
| Add 10% For Freight ($4.05 Minimum) | ******** |
Freight (10%) | |
| Enter The Total Order Amount | ******** | Total Amount | |

CONTACT ___________________________________________________

COMPANY NAME _____________________________________________

STREET ADDRESS ____________________________________________

CITY _______________________________ STATE/PROV ____________

ZIP/POSTAL CODE _________ COUNTRY _________________________

PHONE # ______________________ FAX # ________________________

PAYMENT BY: CHECK AMERICAN EXPRESS DISCOVER MASTERCARD VISA

NAME ON CREDIT CARD ________________________________

3 DIGIT SECURITY CODE (On Back) _____

CARD # | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | EXPIRATION DATE ____/____

I Hereby Certify That I Am Authorized To Charge
Company Purchases To The Credit Card Listed Above:

Signature _____________________________ Date ___________________
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