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Company Name_________________________________________________________ Your Name_____________________________________________________________ Address_______________________________________________________________ City, State, Zip__________________________________________________________ Phone Days___________________ Phone Nights & Weekends___________________ E-Mail________________________________________________________________ | ||||||
| Side | Track | Title | Time | Size | Speed | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
| A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | ¤ 10" ¤ 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
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For each dub plate, give the following for A and B side:
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Tape Formats |
¤ Return tapes with order ¤ Hold tapes for future orders | |||||
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Payment: d10 for each ten inch plate - d12 for each twelve inch plate ds Shipping/handling per shipping address, Priority Mail within US. | ||||||