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INNOVATA CD Order
Michael S. Milnarik, director
P.O. Box 51249
Boston, MA 02205
Please provide us with the following information so we may process your order promptly. If any
items are missing, we may not be able to process your order.
Name: ______________________________
Address: ____________________________
City: __________________ State: ___ Zip/Postal Code: _________
Country (if outside the USA): ________________
Telephone: (____) ______________
Email address: ______________________________
Number of CD's: ___ @ $15+$2.25 postage per CD ($17.25 total PER CD):
__________