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<TD WIDTH=751>&nbsp;</TD>
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<TD WIDTH=717><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">If you are a current customer, you may fill in the following form. Please fill in all (*) fields. If you are not a current customer, please contact
customer service at: (440) 543-9845.</FONT></TD>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Company:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField1" TYPE=TEXT NAME="Company" VALUE="" SIZE=40 MAXLENGTH=60>&nbsp;</TD>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Ship to Address 1:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField2" TYPE=TEXT NAME="ShipAddress1" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Ship to Address 2:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField9" TYPE=TEXT NAME="ShipAddress2" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* City, State, ZIP:</FONT></TD>
<TD WIDTH=303><P><INPUT ID="FormsEditField6" TYPE=TEXT NAME="ShipCity" VALUE="" SIZE=30 MAXLENGTH=40>&nbsp;</TD>
<TD WIDTH=20><P><INPUT ID="FormsEditField7" TYPE=TEXT NAME="ShipState" VALUE="" SIZE=2 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=162><P><INPUT ID="FormsEditField8" TYPE=TEXT NAME="ShipZIP" VALUE="" SIZE=10 MAXLENGTH=16>&nbsp;</TD>
</TR>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Country:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField10" TYPE=TEXT NAME="Country" VALUE="" SIZE=20 MAXLENGTH=40>&nbsp;</TD>
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<TD WIDTH=185><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Ordered by:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField35" TYPE=TEXT NAME="OrderedBy" VALUE="" SIZE=20 MAXLENGTH=40>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=185 HEIGHT=27><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Date Required:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField11" TYPE=TEXT NAME="DateRequired" VALUE="" SIZE=20 MAXLENGTH=20>&nbsp;</TD>
</TR>
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</TD>
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<TR VALIGN=TOP ALIGN=LEFT>
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<TD></TD>
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<TD></TD>
<TD WIDTH=720>
<TABLE ID="Table7" BORDER=1 CELLSPACING=3 CELLPADDING=1 WIDTH=720>
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<TD WIDTH=98><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* P.O. #:</FONT></TD>
<TD WIDTH=343><P><INPUT ID="FormsEditField12" TYPE=TEXT NAME="PONum" VALUE="" SIZE=29 MAXLENGTH=50>&nbsp;</TD>
<TD WIDTH=104><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Email: </FONT></TD>
<TD WIDTH=142><P><INPUT ID="FormsEditField33" TYPE=TEXT NAME="email" VALUE="" SIZE=14 MAXLENGTH=16>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=98><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">*&nbsp; Date:</FONT></TD>
<TD WIDTH=343><P><INPUT ID="FormsEditField15" TYPE=TEXT NAME="Date" VALUE="" SIZE=20 MAXLENGTH=20>&nbsp;</TD>
<TD WIDTH=104><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Phone: </FONT></TD>
<TD WIDTH=142><P><INPUT ID="FormsEditField34" TYPE=TEXT NAME="Phone" VALUE="" SIZE=14 MAXLENGTH=16>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=98 HEIGHT=27><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">* Ship Via:</FONT></TD>
<TD COLSPAN=3><P><INPUT ID="FormsEditField16" TYPE=TEXT NAME="ShipVia" VALUE="" SIZE=40 MAXLENGTH=60>&nbsp;</TD>
</TR>
</TABLE>
</TD>
</TR>
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<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0>
<TR VALIGN=TOP ALIGN=LEFT>
<TD WIDTH=32 HEIGHT=31><IMG SRC="./clearpixel.gif" WIDTH=32 HEIGHT=1 BORDER=0></TD>
<TD></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD></TD>
<TD WIDTH=720>
<TABLE ID="Table6" BORDER=1 CELLSPACING=3 CELLPADDING=1 WIDTH=720>
<TR>
<TD WIDTH=100><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">Quantity:</FONT></TD>
<TD WIDTH=410><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">Product Ordered:</FONT></TD>
<TD WIDTH=184><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">Customer Code Number:</FONT></TD>
</TR>
<TR>
<TD WIDTH=100><P><INPUT ID="FormsEditField17" TYPE=TEXT NAME="Item1-Qty" VALUE="" SIZE=9 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=410><P><INPUT ID="FormsEditField18" TYPE=TEXT NAME="Item1-Product" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
<TD WIDTH=184><P><INPUT ID="FormsEditField19" TYPE=TEXT NAME="Item1-CustCode" VALUE="" SIZE=15 MAXLENGTH=20>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=100><P><INPUT ID="FormsEditField20" TYPE=TEXT NAME="Item2-Qty" VALUE="" SIZE=9 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=410><P><INPUT ID="FormsEditField24" TYPE=TEXT NAME="Item2-Product" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
<TD WIDTH=184><P><INPUT ID="FormsEditField28" TYPE=TEXT NAME="Item2-CustCode" VALUE="" SIZE=15 MAXLENGTH=20>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=100><P><INPUT ID="FormsEditField21" TYPE=TEXT NAME="Item3-Qty" VALUE="" SIZE=9 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=410><P><INPUT ID="FormsEditField25" TYPE=TEXT NAME="Item3-Product" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
<TD WIDTH=184><P><INPUT ID="FormsEditField29" TYPE=TEXT NAME="Item3-CustCode" VALUE="" SIZE=15 MAXLENGTH=20>&nbsp;</TD>
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<TR>
<TD WIDTH=100><P><INPUT ID="FormsEditField22" TYPE=TEXT NAME="Item4-Qty" VALUE="" SIZE=9 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=410><P><INPUT ID="FormsEditField26" TYPE=TEXT NAME="Item4-Product" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
<TD WIDTH=184><P><INPUT ID="FormsEditField30" TYPE=TEXT NAME="Item4-CustCode" VALUE="" SIZE=15 MAXLENGTH=20>&nbsp;</TD>
</TR>
<TR>
<TD WIDTH=100><P><INPUT ID="FormsEditField23" TYPE=TEXT NAME="Item5-Qty" VALUE="" SIZE=9 MAXLENGTH=10>&nbsp;</TD>
<TD WIDTH=410><P><INPUT ID="FormsEditField27" TYPE=TEXT NAME="Item5-Product" VALUE="" SIZE=40 MAXLENGTH=80>&nbsp;</TD>
<TD WIDTH=184><P><INPUT ID="FormsEditField31" TYPE=TEXT NAME="Item5-CustCode" VALUE="" SIZE=15 MAXLENGTH=20>&nbsp;</TD>
</TR>
</TABLE>
</TD>
</TR>
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<TR VALIGN=TOP ALIGN=LEFT>
<TD WIDTH=40 HEIGHT=43><IMG SRC="./clearpixel.gif" WIDTH=40 HEIGHT=1 BORDER=0></TD>
<TD WIDTH=54><IMG SRC="./clearpixel.gif" WIDTH=54 HEIGHT=1 BORDER=0></TD>
<TD></TD>
<TD WIDTH=118><IMG SRC="./clearpixel.gif" WIDTH=118 HEIGHT=1 BORDER=0></TD>
<TD WIDTH=32><IMG SRC="./clearpixel.gif" WIDTH=32 HEIGHT=1 BORDER=0></TD>
<TD WIDTH=271><IMG SRC="./clearpixel.gif" WIDTH=271 HEIGHT=1 BORDER=0></TD>
<TD WIDTH=1><IMG SRC="./clearpixel.gif" WIDTH=1 HEIGHT=1 BORDER=0></TD>
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<TR VALIGN=TOP ALIGN=LEFT>
<TD></TD>
<TD WIDTH=396 COLSPAN=4><P><FONT FACE="Arial,Helvetica,Univers,Zurich BT">Special Instructions:</FONT></TD>
<TD COLSPAN=2></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=7 HEIGHT=7></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=2 HEIGHT=150></TD>
<TD WIDTH=613 COLSPAN=4><TEXTAREA WRAP=PHYSICAL ID="FormsMultiLine1" NAME="SpecialInstructions" ROWS=8 COLS=60></TEXTAREA></TD>
<TD></TD>
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<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=7 HEIGHT=17></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=2 HEIGHT=3></TD>
<TD WIDTH=192 ROWSPAN=2><INPUT TYPE=RESET NAME="Reset" VALUE="Clear All Entries" ID="FormsButton1"></TD>
<TD COLSPAN=4></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=2 HEIGHT=25></TD>
<TD></TD>
<TD WIDTH=304 COLSPAN=3 ROWSPAN=2><INPUT TYPE=SUBMIT NAME="Submit" VALUE=" Submit Order " ID="FormsButton2"></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD COLSPAN=4 HEIGHT=3></TD>
</TR>
</TABLE>
<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=731>
<TR VALIGN=TOP ALIGN=LEFT>
<TD WIDTH=1 HEIGHT=38><IMG SRC="./clearpixel.gif" WIDTH=1 HEIGHT=1 BORDER=0></TD>
<TD WIDTH=730><IMG SRC="./clearpixel.gif" WIDTH=730 HEIGHT=1 BORDER=0></TD>
</TR>
<TR VALIGN=TOP ALIGN=LEFT>
<TD></TD>
<TD WIDTH=730><P ALIGN=CENTER><FONT SIZE="-1" FACE="Arial,Helvetica,Univers,Zurich BT">&nbsp;P.O. Box 23609&nbsp; Chagrin Falls, OH 44023 U.S.A. Phone (800) 229-3862&nbsp; FAX (440) 543-1789<BR>email: </FONT><A
HREF="mailto:etna@etna.com"><FONT SIZE="-1" FACE="Arial,Helvetica,Univers,Zurich BT">etna@etna.com</FONT></A><FONT SIZE="-1" FACE="Arial,Helvetica,Univers,Zurich BT"> </FONT></TD>
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<TD WIDTH=131 HEIGHT=2><IMG SRC="./clearpixel.gif" WIDTH=131 HEIGHT=1 BORDER=0></TD>
<TD></TD>
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<TD></TD>
<TD WIDTH=433>
<TABLE ID="Table3" BORDER=1 BGCOLOR="#000000" CELLSPACING=1 CELLPADDING=1 WIDTH=433>
<TR VALIGN=TOP>
<TD WIDTH=312 HEIGHT=125><P><IMG ID="Picture30" HEIGHT=117 WIDTH=312 SRC="./cert1.gif" VSPACE=0 HSPACE=0 ALIGN="TOP" BORDER=0>&nbsp;</TD>
<TD WIDTH=108><P><DIV ALIGN="CENTER">
<TABLE WIDTH=108 BORDER=0 CELLSPACING=0 CELLPADDING=0>
<TR>
<TD><IMG ID="Picture29" HEIGHT=117 WIDTH=108 SRC="./a_cert2.gif" BORDER=0></TD>
</TR>
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