The Complete Sourcebook

Last Update: Tue 24 Dec 1996

THE COMPLETE SOURCEBOOK Inclusion Form

Company Name _____________________________________________________________
Contact Person _____________________________________________________________
Address ____________________________________________________________________
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______________________________________________________(include country)

Telephone _________________________________(include country code)
800#__________________________________
FAX#_________________________________
E-mail_________________________________http://____________________________________

Description Of Products/Services (200 word limit please)
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Keywords (to be used as a cross-reference to your company)

________________ ________________ _______________ _______________ ______________
________________ ________________ _______________ _______________ ______________

Wholesale______ Retail______ Trade Only______ Mail Order______

Nationwide Shipping _____.........Worldwide Shipping _____

Check/Money Order Accepted _____

Credit Cards Accepted_____________________________________________________

Free Info ____ .........Catalog ____ Price ____.........Brochure ____ Price ____

Are you interested in being included in our CD-ROM and INTERNET WEB Site? yes _____no_____

Permission to copy your catalog or brochure onto our CD-ROM yes ____ no ____

______________________________________ _____________________________________
Signature.............................................................. Title


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