Peoples-Bar-B-Que  
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The purpose of this form is to have faxed in orders from patrons  ...               

  1. Please provide the following contact information:

    Full Name 
    Organization
    Work Phone/Ext 
    Fax 
    User Email 
  2. Please provide the following ordering information:

    QTY AMT DESCRIPTION
    3. Enter your comments or special instructions in the space provided below:
       
             What kind of comment would you like to send?
       Complaint Problem Suggestion Praise

   4.    Please contact me as soon as this order is ready.

 


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Revised: June 03, 2001