National Pro Clean Corp.

Order Information

ORDER FORM   ______ Please send me Jan Bid software and Janitorial Success Book   ______________________________________________________ Name                    ______________________________________________________ Company  _________________________________________________ Phone

Address 1

Address 2

City                                             State                ZIP

Check payment  __ Visa  __ MasterCard __ Money Order                        __ Check

Credit Card number:

Expiration Date:

Signature of Card holder:

$ 175 plus $15 parcel post s/h  = total $190 Jan Bid can be emailed to eliminate $15 shipping cost. _________________________________________________   FAX Credit Card order to: (719) 622-6505 Or, mail order with check to: National Pro Clean Corp. 445 East Cheyenne Mountain Blvd #105 Colorado Springs, CO 80906

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