Order Form for Scientific Instruments
by Norman Greene

1215 4th ST
Berkeley, Ca 94710

You can place an order by calling me at 510-524-1109, or by using this order form.

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Scientific Instruments By Norman Greene

Ordered By

You can pay with paypal, check or credit card
Paypal is norm@normgreene.com  or send check to 1215 4th St Berkeley, Ca 94710
For credit card give the first 4 numbers below.  Send the rest by email.
Also email the expiration date and code off the back in a separate email.
I am trying to make sure you number is secure.  You can also call the cc number in to 
the shop at 510-524-1109

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