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 N.A.S. INC.                                                      ORDER FORM 
8682 E. BAYSHORE RD.                                     Date_________19____
MARBLEHEAD, OH 43440          Phone (419)798-4382
			      Fax   (419) 798-9556
____________________________________________________________________________

Name____________________________________
Street Address__________________________   Method of payment:
City_________________State_____Zip______   __Full payment enclosed
                                           __C.O.D. __MasterCharge __Visa
If you want your order Shipped to a 
different address..Give information here:  Acct. No._______________________
                                           Bank. No._______________________
Name____________________________________   Expir. Date_____________________
Street Address__________________________   Name____________________________
City_________________State_____Zip______   Signature_______________________

                          Please list your Phone Number:
                          Area Code(_____)Number__________-_______________
_____________________________________________________________________________
|Page|Stock or |      Description          | Size | Qty | Price  | Total    |
|    |Model No.|                           |      |     |  Each  |          |
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  | 
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  |
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|    |         |                           |      |     |        |$      |  |
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Approximate shipping cost:                 |Amount of Mechandise |$      |  |
                                           ----------------------------------
Orders Up To $50.00       $ 4.00 -  $6.50* |Ohio Residents Add 6%|$      |  |
$ 50.01  - $100.00        $ 7.00 - $12.00* ----------------------------------
$100.01  - $200.00        $10.00 - $18.00* |Shipping Charges     |$      |  |
$200.01  - $300.00        $12.00 - $22.00* ----------------------------------
$300.01  - $400.00        $14.00 - $24.00* |              TOTAL  |$      |  |
$400.01  - $500.00        $18.00 - $28.00* ----------------------------------                       

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**CALIFORNIA LAW PROHIBITS SALES Any Lead Products **