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Phone: (650) 342-9753

Fax: (650) 344-7743

1127 Chula Vista Avenue

Burlingame, California 94010

ELECTRONIC ORDER FORM CUSTOMER INFO

Silver areas REQUIRED
If you are a returning customer, enter your Customer ID, password and e-mail address.    
If you are new, choose a Customer ID, password and enter your email address.
     User ID and Password should between 5 & 10 characters
Step1:
 User: Pass:
 
HTTP/1.1 200 OK Date: Thu, 01 Mar 2001 01:57:16 GMT Server: Apache/1.3.14 (Win32) mod_jk Pragma: No-cache Expires: Thu, 01 Jan 1970 00:00:00 GMT Cache-Control: private Servlet-Engine: Tomcat Web Server/3.2.1 (JSP 1.1; Servlet 2.2; Java 1.3.0; Windows 2000 5.0 x86; java.vendor=Sun Microsystems Inc.) Keep-Alive: timeout=15, max=98 Connection: Keep-Alive Transfer-Encoding: chunked Content-Type: text/html;charset=8859_1 78c

Barker Blue Imaging

ELECTRONIC ORDER FORM CUSTOMER INFO

Silver areas REQUIRED
Verify information, press 'Update' to change existing data or enter new data.
When all information is correct, press 'Continue'.
Step2:
 User: 
COMPANY NAME & ADDRESS:
COMPANY NAME:
ADDRESS:
ADDRESS:
City: St: Zip: 
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