Order Form

First Name:____________________

M/I:___

Last Name:__________________

Phone #:(____)____-_____

E-mail:___________________________

Street:_______________________

City:____________________

State:____ 

Zip:_________

USA

Name of site:_______________________

Page Style:___

Text Style:________________________

Text Color:______

Top Color:______

Left Color:_______

Middle Color:_______

Right Color:_______

Complete URL:_____________________________________

Number of Pages:___

Total $_______



(Right click to print.NETSCAPE USERS:Open frame in new tab then click
on your print icon.)


       Note:Name each page, and put that name front
and center over the text you want displayed, also name
each link as you want it displayed.
	
	Thank you for visiting A.P.S.
	HTML 4.0 Certificate # 1012149,can be verified at:
	http//:www.ncsacedemy.com

	A.P.S.
	P.O.Box 464
	Siloam Springs, AR 72761-0464

    Source: geocities.com/strw495mkrhn/aps

               ( geocities.com/strw495mkrhn)