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<br /> <br />COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br />DATE: <br /> <br />71ID/0:/ <br />I I <br /> <br />BUSINESS NAME: <br /> <br />VISTA MARKETING <br /> <br /> <br />(Ut-t-lLt U~I::: UNlY) <br /> <br />SALES PERSON: <br /> <br />CARL CASTEN <br /> <br />DEALER PHONE #: 813-788-5459 <br />D~~R~X#:813-788-5459 <br /> <br />ACCOUNT: <br /> <br />ZEPHYRHILLS, FLORIDA <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br /> <br />BACK <br /> <br /> STYLE SIZE <br /> BARN X <br /> ECONO X <br /> LOFT BAR X <br />LEFT RIGHT UTILITY X <br /> GARAGE X <br /> LOFT GAR. I.:zX <br /> CABIN X <br /> <br /> <br />BLACK <br /> <br />WHITE <br /> <br />CHARCOA <br />L GRAY <br /> <br />RED <br /> <br />FRONT <br /> <br />Y CODE FOR OPTION PLACEMEN; 0= SINGLE DD= DOUBLE <br />. DOOR DOOR <br /> <br />S= STEEL <br />DOOR <br /> <br />F= AIC <br />FRAMEOUT <br /> <br />G= GARAGE <br />DOOR <br /> <br />W- <br />WINDOW <br /> <br />MISCELLANEOUS <br /> <br /> <br />J F? 1..., G r-# /( e IVPo-l-/ fll~ l2...eJf <br />~ER NAME(S) =...,L- <br />C"tp (0<. BeecH..err <br />ADDJ<C~" <br /> <br />Za ~ I1v (I It (i (~ rf, g'3~t.f~ <br />. ~ ~TE ZIP COUNTY <br /> <br />HOM <br />WORK <br />CELL <br /> <br />HOME <br />WORK <br />CELL <br /> <br />NAME OF EMPLOYER ~J1.l <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS <br /> <br />SOCIAL SECURITY <br />NUMBER <br /> <br />M <br /> <br />RT <br /> <br />R <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />COUNTY <br /> <br />DRIVER'S LICENSE}'}1 ~ ~- :?l_'-7o-~ <br />NUMBER' . t ..:::>..:;:0{ .. I" , <br /> <br />)ATE OF BIRTH / () -;x.5-7o <br /> <br />E-MAIL ADDRESS <br /> <br />