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    To Order Using This Form
        1) Print and then fill out the 2 following forms
        2) Make check or money order payable to CallDhaka.com
        3) Mail the form along with your payment to:
            CallDhaka.com
            1911 W. Osage Bend
            Fayetteville, AR 72701

**Order Form**
Card Description	Unit Price	Quantity	Total
AccessAsia $10 Calling Card AccessAsia $20 Calling Card	$10.00 $20.00
Total

**Customer Information**
Name
Address Line1
Address Line2
City	State	Zip
* E-mail
** Phone (O)	Phone (R)

* Must Provide an E-mail address so we can send your PIN
** Must Provide at least one phone so we can contact you